Vertebrae: Lumbar vertebral body height is well-maintained.
Postsurgical changes of bilateral laminectomies noted from L2 to
L4.
Alignment: Normal
L1-L2: Intervertebral disc height loss noted. Mild disc
osteophyte complex seen. There is a small superimposed left
subarticular disc protrusion. This appears to contact and
displace the traversing left L2 nerve. There is mild spinal
stenosis. Facet arthropathy seen. There is mild bilateral
neuroforaminal narrowing noted.
L2-L3: Intervertebral disc height loss noted. There is disc
desiccation. Disc osteophyte complex seen. Spinal canal remains
patent. There is facet arthropathy. Moderate bilateral
neuroforaminal narrowing noted.
L3-L4: Mild intervertebral disc height loss seen. There is disc
desiccation. Mild disc osteophyte complex seen. There is facet
arthropathy. Spinal canal is patent. There is moderate to severe
bilateral neuroforaminal narrowing.
L4-L5: Intervertebral disc height is well-maintained. Mild disc
desiccation seen. Mild disc osteophyte complex present. There is
facet arthropathy. Spinal canal is patent. There is moderate to
severe bilateral neuroforaminal narrowing.
L5-S1: Intervertebral disc height is well-maintained. Disc
hydration signal is normal. Minimal disc osteophyte complex seen.
There is facet arthropathy. Spinal canal is patent. There is mild
bilateral neuroforaminal narrowing.
The following was at the end of my lumbar spinal report:
The following findings are so common in people WITHOUT low
back pain that while we report their presence, they must be
interpreted with caution and in the context of the clinical
situation. (Reference -- Jarvik JG et al, "The Longitudinal
Assessment of Imaging and Disability of the Back (LAIDBack)
study: Baseline data." Spine 2001)
Findings (prevalence in patients without low back pain) Disc
degeneration (decreased T2 signal, height loss, bulge) (91%) Disc
T2 signal loss (dessication) (83%) Disc height loss (56%) Disc
Vertebrae: Cervical vertebral body height is maintained. Anterior
osteophyte formation noted throughout the cervical spine.
Alignment: There is reversal of the normal cervical lordosis.
Alignment is stable compared to prior MRI of June 4, 2020
Marrow: Mild Modic type II degenerative marrow signal changes
seen at the inferior endplate of C3. Marrow signal is otherwise
unremarkable. No evidence of acute fracture seen.
Spinal canal, Spinal cord & Dura: AP spinal canal diameter is
within normal limits. Visualized spinal cord is normal in
course, caliber, and signal. No intradural abnormalities are
seen.
Soft Tissues: The visualized posterior fossa is unremarkable.
Visualized soft tissues of the neck are normal.
Axial Sections:
C2-C3: Intervertebral disc height is well-maintained at this
level. No significant disc bulge or herniation is seen. Spinal
canal is patent. There is facet arthropathy. Moderate left and
moderate to severe right neuroforaminal narrowing noted.
C3-C4: Intervertebral disc height loss seen. Disc osteophyte
complex seen with greater right subarticular component. There is
moderate to severe spinal stenosis. Facet arthropathy noted.
There is moderate to severe left and severe right neuroforaminal
narrowing.
C4-C5: Intervertebral disc height loss seen. Disc osteophyte
complex noted. Mild spinal stenosis present. There is facet
arthropathy. Severe bilateral neuroforaminal narrowing seen.
C5-C6: Intervertebral disc height loss noted. Disc osteophyte
complex seen. There is moderate spinal stenosis. Facet
arthropathy noted. There is severe bilateral neuroforaminal
narrowing.
C6-C7: Intervertebral disc height loss noted at this level. Disc
osteophyte complex seen. There is moderate spinal stenosis. Facet
arthropathy seen. There is severe left and moderate to severe
right neuroforaminal narrowing.
C7-T1: Intervertebral disc height loss seen at this level. No
significant disc bulge or herniation present. Spinal canal
remains patent. There is facet arthropathy. Moderate left and
mild right neuroforaminal narrowing noted.
I'm waiting on the VA ortho specialist to give me a call
Post Edited (bebbles) : 8/2/2021 3:12:27 PM (GMT-6)