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Lumbar MRI Results

Have an appointment for back pain next Monday. Just got MRI and this looks troubling. Should I request an appointment sooner than Monday? What is the white spot on the MRI in the vertebrae?

http://i.imgur.com/blbwUQA.png
Poster
  • Male | 35 years old
  • Complaint duration: 90 days
  • Medications: Flexeril, Ibuprofen
  • Conditions: None

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Featured Answer

1 UpVoted this answer
Hello there. Your lumbar spine looks pretty good on this single, sagittal image. The vertebral bodies appear intact and the disc heights relatively well-preserved throughout with only minor loss of disc height at L4-5. No focal disc herniation is seen on this single image and the central canal (the fluid-filled space which surrounds your spinal cord and the nerve roots) appears normal with no evidence of significant narrowing. The single, well-defined high signal focus demonstrated in the lower lumbar spine at L5 most likely represents a common benign bone lesion known as a hemangioma and is unlikely to be of any significant clinical relevance and unlikely to be implicated in your symptoms of back pain. I do not see any other concerning imaging findings and would suggest keeping your original appointment for next Monday unless your symptoms worsen, in which case I would contact the physician that originally referred you for the imaging study. Thanks, Paul Gibson MD.
Paul E. Gibson
Dear patient,

Based on this single sagittal T2 image, u have nothing to worry about. That bright spot is likely a benign lesion called a hemangioma. I don't see a disk herniation.

Dr. Cregan
Kevin Cregan
Based upon this single image shown, there does not appear to be any reason to make an earlier appt. with your Dr. At this time. The white spot may be small cyst.
Howard L. Spector
agree with Dr Gibson. Look at corresponding image from "T1" and "STIR" sequences:

if it is white on T1 and disappears on STIR it is an intraosseous lipoma.

if it is white and T1 and gets bright on STIR it is a hemangioma.

I dont think this could be related to your pain.
Richard Levine