Need some help understanding MRI's from my old friends at HW

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

Retired Mom
Veteran Member


Date Joined Feb 2010
Total Posts : 1753
   Posted 8/15/2011 8:00 AM (GMT -6)   
Hi All,
 
I know it has been a while since I posted.....kind of like I dropped off of the face of the earth.  Things happen and change what you can and cannot do and I needed a break (plus my daughter just went back to school on Friday).  It's been an exceptionally busy summer for my family and I have done all I can not to burden them with my pains and illnesses.  It has been especially hard because of some new developments in several areas.
 
The bottom line for this post, however,  is to ask help from some of you "more experienced" back people who might can help me understand the MRI's I just had done.
 
A breakdown is like this:  C - Spine W/O contrast:  Mild/Moderate cervical spondylosis and facet arthropathy, C5-6 small annular disc bulge which slightly indents the thecal sac, C6-7 small annular disc bulge without significant canal or foraminal stenosis, C7-T1 left paracentral focal disc bulge which indents the thecal sac and slightly displaces the cord to the right.  Impression:  No fracture or subluxation, Mild to moderate spondylosis and facet arthrophy, Small annular disc bulges C5-6 and C6-7 w/o significant canal ro foraminal stenosis, C6-T1 left paraacentral focal disc herniation which causes mild canal stenosis only.
 
T-Spine W/O contrast:  mild/moderate difuse thoracic spondylosis, T2-3 small annular disc bulge, T3-4 & T4-5 Small anular disc bulges w no significant canal stenosis, axial images limited by motion (I was having muscle spasms pretty bad), T9-10 prominent thickening of the posterior elements on the right which slightly indents the cord but does not cause significant canal stenosis.  Impression:  no fracture or subluxation, Mild/Moderate diffuse thoracic spondylosis, small annular disc bulges at several levels in the thoracic spine and thickening of the posterior elements of T9-10.  No significant canal stenosis or focal disc herniation.
 
L-Spine W & W/O contrast:  Prior posterior fusion L5-S1 w/bilateral pedicle screws.  Study limited by motion (again several muscle spasms on my part), mild/moderated spondylosis and facet arthropathy lowar lumbar spine. Conus terminates at L1.  No abnormal signal w/in spinal cord.  Axial images are severely limited by motion.  L4-5 small annular disc bulge w/out signficant canal stenosis and w/ mild/moderate foraminal stenosis.  L5-S1 small annular disc bulge associated w moderate sized left paracentral & lateral focal disc herniation.  This does not cause significant narrowing of the central spinal canal but does narrow the left lateral recess and neural foramen.  Post contrast images are also limited by motion.  Impression:  Study limited by motion.  Post posterior fusion L5-S1 w/o evidence of complication.  Moderate spondylosis and facet arthrophy.  L5-S1 there is a moderate to large left paracentral and lateral disc herniation which narrows the left lateral recess and neural foramen.  Evaluation limited by motion.
 
I know this is VERY long and I appreciate anyone willing to help interpret.
 
 
 
 
TLIF L5-S1/failed, Pituatary disorder w/HGH deficiency, Fibro, Failed Bladder Surgery & Nissen, GERD, OCPD, GAD, MDD, CFS, TMJ, Migraines, Pre-glaucomic, HBP, Idiopatic Reactive Hypoglycemia w/Diabetic reaction to HGH, Bi-lateral CTS (surgery related trigger finger), Edema, Tarsal Tunnel Syndrome, Peripheral Neuropathy, Plantar Fascitis, Tibular Tendionitis, Adult Onset Flat Feet & much more.....

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 8/15/2011 8:48 AM (GMT -6)   
 
       Morning retiredmom!
 
            While I cannot effectivley read and offer understanding to your MRI here, I do see that you do not have an annular tear. Those are very hard to heal because of limited or no blood supply to it.
 
     I myself,... just make an appointment and discuss those reports with my PCD and or Surgeon. I'm guessing you have a follow-up appointment?
 
    Good to see you again! You have been gone way too long! wink
 
   SE
Moderator Chronic Pain Forum

Weekly Quote!

"Snowflakes are one of nature's most fragile things, but just look at what they can do when they stick together"

Retired Mom
Veteran Member


Date Joined Feb 2010
Total Posts : 1753
   Posted 8/15/2011 12:45 PM (GMT -6)   
Hi SE,

I actually just got back from the PCP, who "tried" to explain what was going on. He interpretation did not mesh with what I have found during my own "online" research....sooo....I'm going to wait and see what the Neurosurgeon and the PM Dr say. I give up on figuring it out on my own or with the assistance of a PCP that is not trained in this area. She did give some basic info, but I pretty much knew all of that already. I am glad I went though (despite the co-pay) because the referrals were never done from her office and I need them in place for insurance purposes. I have a PM apt on the 22nd and a Neurosurgeon Apt on the 29th. I'm hoping to stick with the PM and avoid any surgery unless there is NO other option.

I hope things are going well with you and the other members of HW!
TLIF L5-S1/failed, Pituatary disorder w/HGH deficiency, Fibro, Failed Bladder Surgery & Nissen, GERD, OCPD, GAD, MDD, CFS, TMJ, Migraines, Pre-glaucomic, HBP, Idiopatic Reactive Hypoglycemia w/Diabetic reaction to HGH, Bi-lateral CTS (surgery related trigger finger), Edema, Tarsal Tunnel Syndrome, Peripheral Neuropathy, Plantar Fascitis, Tibular Tendionitis, Adult Onset Flat Feet & much more.....

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 8/15/2011 12:57 PM (GMT -6)   
 
     ...sounds like you have a good plan then....and yes surgery should be the last resort...and of course I know you know that already. wink
 
          Good luck, and please do visit us often as you can. I, myself,... am hanging in there. Good days and bad days....I hate the FBS and hate the pain med's just as bad! OH well!...I have to deal with what it is, and drive on.
 
   Take care,
 
 SE
Moderator Chronic Pain Forum

Weekly Quote!

"Snowflakes are one of nature's most fragile things, but just look at what they can do when they stick together"

momtofourangels
Veteran Member


Date Joined Apr 2010
Total Posts : 2261
   Posted 8/15/2011 9:38 PM (GMT -6)   
Hi RetiredMom It's so good to see you back. I've been sending you emails, but no replies. Have you been getting them?

I can't help with interpreting the MRI. I had two done a couple of months ago that I need to get an appointment with the neurosurgeon I saw before to get them interpreted. It does sound good that you don't have any tears, as SE said.

I also had a ct=scan done at the same time and I have 3 masses on my left lung which I made an appointment for and my Medicaid Transportation ended and I still have to get another appointment with the dr. Enough about me.

I wish you good luck on the results of your MRIs. Take care. I hope you are having a low pain night.

love ya my friend
hugs
Loretta
Dx: osteoarthritis, bursitis in left hip, Osteoarthrits in right hip, compression fracture in thoracic spine due to falling on frozen ground March 2001 , ddd, spinal stenosis, bone spurs, osteoarthritis in spine, osteoarthritis in both knees
Meds: Fentanyl patch, oxycodone, otc: BenGay, Tylenol Arthritis on occasion

Retired Mom
Veteran Member


Date Joined Feb 2010
Total Posts : 1753
   Posted 8/16/2011 6:20 AM (GMT -6)   
Hi Loretta,

I haven't gotten any of your emails and I haven't changed my email address. I am having a problem with my webmail catching what it considers spam and bocking it from coming in to my outlook account. I also finally picked up a smart phone and I use that for emails a lot too. I haven't seen anything at all from you.


I'm really sorry to hear that you have the lung masses. That's certainly frightening and something that you should not put off if you can. Each time I think nothing else can go wrong with my insane body, then a lovely surprise is waiting around the corner.....lots of fun you know. Thank goodness I did get in the gallon of biofreeze I ordered. I know that sounds crazy to most, but it's so much cheaper to buy it in bulk....especially when it helps me so much. I sure wish there were someone home to put it on me now!

I'll let you go for now. It was VERY good to hear from you! I hope things work out well!
TLIF L5-S1/failed, Pituatary disorder w/HGH deficiency, Fibro, Failed Bladder Surgery & Nissen, GERD, OCPD, GAD, MDD, CFS, TMJ, Migraines, Pre-glaucomic, HBP, Idiopatic Reactive Hypoglycemia w/Diabetic reaction to HGH, Bi-lateral CTS (surgery related trigger finger), Edema, Tarsal Tunnel Syndrome, Peripheral Neuropathy, Plantar Fascitis, Tibular Tendionitis, Adult Onset Flat Feet & much more.....

spinal soldier
Veteran Member


Date Joined Dec 2009
Total Posts : 687
   Posted 8/16/2011 1:19 PM (GMT -6)   
where do you want to start? i'm curious why they ordered a cervical to sacrum MRI, that would take a while. you have joint disease all over other than L5-S1 where the facet joints are probably fused by a graft. i need to take some pain meds and i will be back. ankylosing spondilitis may be one of your problems, it's auto-immune i think. be back

Monty's Mom
Veteran Member


Date Joined Aug 2010
Total Posts : 664
   Posted 8/17/2011 11:58 AM (GMT -6)   
retiredmom, I am so glad to see you back! I am sorry you are having trouble. I am praying for you.

Mindy
The worst sin towards our fellow creatures is not to hate them, but to be indifferent to them. That's the essence of inhumanity. George Bernard Shaw
Pelvic adhesive disease, IBS, SI pain, arthritis, kidney stones, depression, 10 pelvic surgeries for pain, ovarian cysts, adhesions, endometriosis, adenomyosis, and possible ovarian remnant syndrome. Unexpectedly growing ovary #3 on right side.

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16301
   Posted 8/19/2011 1:39 PM (GMT -6)   
Gee RM, first I am very glad to see you again. I too have been MIA due to internet problems. Today is my first day back with my new internet service & I am loving it. Felt like my life line had been cut off.

Wow, you really do have arthritis from top to bottom. Lots of small bulging discs which no decent dr would consider operating on. I do not know of any dr ever doing any surgery in the thoracic spine area either because its just too dangerous in that area.

Best I can tell from an amateurs eye, the culprit is the very bottom disc L5/S1 is the real problem area. One thing that did surprise me was the fusion itself seems to be intact and I understood previously that it was not. At least this lumbar scan was done right with contrast, thats much better. Spondylosis and facet arthropathy are fancy terms for degenerative osteoarthritis and they can respond well to having the RF done. I had it done on both my neck & back. It helped my neck but did nothing for my back. It will be interesting to see what the dr says.

Anyway, so glad to see you again. Take care.
Moderator Chronic Pain Forum

Retired Mom
Veteran Member


Date Joined Feb 2010
Total Posts : 1753
   Posted 8/19/2011 2:50 PM (GMT -6)   
Yeahhhh...I'm so glad to hear from you guys again!! It feels like family back together!

Thanks for the post about no decent Dr doing surgery Stray because I DON'T want surgery again!! As far as the MRI saying the fusion was intact, it is possible that it did continue to grow, but the MRI was wrong last time too. They only saw the big holes in a CT with contrast and that was misdiagnosed on the report, but easily viewed and shown by the spine specialist. Who knows at this point. I've had so many MRI's and so many conflicting reports that I never know what to expect. I think that's why I'm going back to the same Neuro who did my surgery the first time....because he should know what he did and be able to interpret what is going on with that region. Otherwise, I honestly believe all tests that involve a radiologist are only as good as the person interpreting the data. I know a computer does some of it, but there is always that person making the final comments. I give up on what is right and what is wrong, but I know that I hurt and I know that there has to be an answer as to why this back just gets worse every month. Either way, I will see PM on Monday and I did get clearance to take my hubby back (when they called to confirm today). I also see the neuro on the 29th and that will give some answers.

I LOVE having you guys back!
TLIF L5-S1/failed, Pituatary disorder w/HGH deficiency, Fibro, Failed Bladder Surgery & Nissen, GERD, OCPD, GAD, MDD, CFS, TMJ, Migraines, Pre-glaucomic, HBP, Idiopatic Reactive Hypoglycemia w/Diabetic reaction to HGH, Bi-lateral CTS (surgery related trigger finger), Edema, Tarsal Tunnel Syndrome, Peripheral Neuropathy, Plantar Fascitis, Tibular Tendionitis, Adult Onset Flat Feet & much more.....

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16301
   Posted 8/19/2011 8:53 PM (GMT -6)   
RM, I think you are making a very good decision by going back to the original surgeon, please also take a copy of the films with you so he can review them.

You are so right on the money about who reads the films. A radiologist is human and can make mistakes like anyone else. I have seen it happen many times when films were not read correctly or even missed something once the filmed were reviewed by another dr. The one thing that always just griped us to no end when I worked was the radiologist that was too lazy to measure the size of the disc that had problems. Meaning why didn't he say what size the herniation is at L5/S1 and the multiple bulging disc at the other levels.

RM, I will not be surprised to hear the original surgeon say surgery is an option at the L5/S1 level depending on too what your current symptoms are, maybe go in and do a clean up there, who knows, I sure am not a dr. Jim had some great tips on the list of questions and I hope you will do the same when you go see the surgeon. I really think this level is the culprit for a lot of your pain. Take hubby to that appt too if you possibly can.

Also, I do hope things go better when you see the PM dr. Sometimes the support staff is just not worth shooting, but the dr can be a good one. Makes it difficult though to be a patient in that situation. Take care.
Moderator Chronic Pain Forum
New Topic Post Reply Printable Version
Forum Information
Currently it is Friday, June 22, 2018 10:54 PM (GMT -6)
There are a total of 2,974,438 posts in 326,175 threads.
View Active Threads


Who's Online
This forum has 161277 registered members. Please welcome our newest member, Ki85.
296 Guest(s), 2 Registered Member(s) are currently online.  Details
CAdogsRus, insomniaaa