Hi, I had a MRI of my Thoracic and Lumbar
spine. The thoracic came back normal but
they did find bilateral small posterior
dependent pleural effusions in my lungs
which I am getting checked out.
The lumbar came back and my doctor hasn't
been real helpful in explaining what it
all means to me. Does anyone know what
posterior discal margins are and what
facet syndrome is? Is that normal for a
30 year old female?
T11 to S3 demonstrated. Slight increased
lordosis noted. Prevertebral vasculature,
bone marrow signal normal. Conis is at
the level of L1, normal size and signal
intensity. No intrinsic lesion. Minimal
facetal hypertrophy questioned at L4-I5
without neurocompressive change or
overgrowth of the ligamentum flavum. Mild
facetal hypertrophy, early arthrosis
L5-S1. No neurocompressive lesion.
Discal contour, discal hydration normal.
No neurocompressive lesion.
Posterior discal margins. Questionable
minor facet syndrome with early facet
arthrisis at L5-S1 with normal appearing
conus.
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RichT
Active User, Really EHEALTHy
Joined: 22 Jul 2007 Posts: 823
Thanks: 16
Thanked:0
Posted: 01-17-08 14:50pm
Hello Princesslisa,
I have a difficult time understanding the
medical terminology with MRI reports.
If you are not getting a satisfactory
explanation from your doctor, then I
would suggest you get a second opinion
from a neurologist/spinal surgeon. It is
always a good a idea to have a 2nd opinion
anyhow.
Oh yes, seek out the best spine doctor
that you can find in your area.
Take care.
RichT
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Marie B.
Experienced User , Rather EHEALTHy
Joined: 28 Aug 2007 Posts: 218 Location: Ohio
Question Posted: 01-19-08 10:19am
What were your symptoms before it was
decided for you to have an MRI?
You have a lot of normal aspects about
your spine from the MRI. If you had some
concept about the anatomy of the spine, in
regard to the disc margins, they are
determining if you have any buldging or
herniated discs. Posterior means the back
of the disc and vertebrae
When the word "demonstrated" is used, it
mean that is the area that is showing or
visible and they are determining its
condition.
Facets are the joints in the vertebrae
which develops changes with age and use
and possible medical problems like
arthritis. It is saying that you are
showing mild changes at the age of 30.
Hey and your ligamentum flavum is in good
shape. That's the lining that goes around
the vertebral canal through which the
spinal cord passes. That's great!
My age is about double yours and when I
had my surgery, my surgeon had to remove
an inch and one half of overgrowth which
pressed on my spinal cord and created a
major stenosis.
Lordosis means that your spine isn't
perfectly straight. There is a portion of
it where it leans very slightly.
The conus is the spinal cord end which is
usually for most folks at the L1. Th cord
then divides into a zillion little nerve
strands called the cauda equina (horses'
tail") from the Lumbar region to the
Sacral vertebrae. Yous is normal
Hey and you have no squashed nerves that
are creating problems for you because of
so many normal discs and vertebrae's.
This is good.
Signal intensity is normal which means
that your cord is happily sending its
messages and receiving its messages to all
parts of your body and doing it without
any impingements.
I wish my MRI had said that. And just in
case, I wanted to let you know that I am
not a doctor but have a limited
understanding of the spine.
I hope they determine what the problem
with your lungs are.
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