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Options after MRI
Jun 27, 2013
I just got my MRI results and after going over them with my Dr. along with the work restrictions he suggested and I am considering going on leave from my job for about a month to do the PT, steroid shots and nerve conduction testing needed.
Here's the results from the MRI:
Findings: There is L4-5 anterolisthesis. The L4 pars apear to be deficient and pars defects are suspected. No acute fractures, aggressive osseous lesions are identified. The conus and the cauda equina appear unremarkable, and no paraspinous masses are grossly evident. On axial image #5, sagital image #8 there is a 12mm X 12mm oviod fluid signal intensity lesion which is located along the posterior margin of the right L2-3 facet joint complex that has homogeneous increased T2 signal and T1 hypointense signal, most likely reflecting a synovial or ganglion cyst.
At L4-5 there is disc desiccation with loss of disc height with a mild disc bulge resulting in mild foraminal narrowing. There is a small punctate left paracentral high intensity zone. There is no significant facet arthropathy.
At L5-S1, disc desiccation is present. There is a very small paracentral disc protrusion with high intensity zone which comes into close proximity with the proximal left S1 nerve root.
Impression: L4-5 grade 1 anterolisthesis, most likely secondary to suspected bilateral pars defects with intervening advanced degenerative disc disease.
L5-S1 degenerative disc disease with a very small left paracentral disc protrusion with high intensity zone which slightly contacts the proximal left L1 nerve root.

Am I over-reacting to this or am I going in the right direction?

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