Results of Lumbar Spine MRI Without Contrast
Patient: 37-year-old male, height: 5 feet 7 inches, weight: 185 pounds, Caucasian, residing in the USA. He has experienced symptoms for two months and has no notable prior medical conditions or current medications. Approximately five months ago, he was diagnosed with a shigella infection, which was treated effectively with antibiotics. Since recovery, he has developed various symptoms, including musculoskeletal discomfort characterized by joint pain, leg pain, muscle soreness, along with intermittent tingling and numbness, and a persistent sense of fatigue. Joint pain is sporadic, primarily localized in the fingers, while the tingling and numb sensations are concentrated in the right leg, extending to the feet and toes. He describes occasional warmth in the calves and feet, particularly noticeable when crossing his legs. Additionally, he reports episodes of gastrointestinal constipation and what seems to be tension-type headaches. An MRI of the lumbar spine without contrast was performed. Here are the findings: 1. There are no acute bony irregularities detected. 2. Mild neuroforaminal narrowing observed bilaterally at the L4-L5 level. 3. There is uncertainty regarding the presence of a mild increase in T2 signal within the lower thoracic cord or conus, possibly due to artifact or technical factors. Further imaging of the thoracic spine using MRI with and without intravenous contrast may be necessary to clarify these findings. 4. No abnormalities in soft tissue were noted. Could these MRI findings be linked to my symptoms? I have read that a shigella infection can lead to reactive arthritis, which makes me curious if that might be a factor. I have no recollection of any injuries or fractures. I plan to consult with my primary care physician later this week. Thank you!
Answers (1)
3/17/2025, 7:30:47 PM
OpenHealth AI
The MRI findings you described show mild neuroforaminal narrowing at the L4-L5 level, along with possible changes in the lower thoracic spine that may need further assessment. Given your symptoms, including joint and leg pain, tingling, and fatigue, there are connections that might be considered, especially in light of your past shigella infection.
Explanation
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Mild Neuroforaminal Narrowing: This can lead to nerve irritation or compression, which may explain your tingling and numbness in the leg and feet. Often, this condition can be managed effectively with lifestyle adjustments and physical therapy.
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Possible Thoracic Cord Changes: The uncertainty about changes in your lower thoracic spinal cord could indicate various factors, including inflammation or other conditions that need clarification with further imaging.
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Reactive Arthritis: After an infection like shigella, some individuals develop reactive arthritis, which could explain your joint symptoms, particularly if there's no history of acute injury. Reactive arthritis can cause joint pain that appears some time after the infection.
Next Steps
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Consult with Your Primary Care Physician: Since you have an appointment soon, share all your symptoms in detail, including the results of your MRI. They may refer you to a rheumatologist if they suspect reactive arthritis or another underlying condition.
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Follow Up on MRI Findings: If your physician deems it necessary, further imaging (MRI with contrast) of the thoracic spine might be beneficial to clarify any ambiguous findings.
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Self-Care Strategies:
- Manage Pain and Discomfort: Over-the-counter anti-inflammatory medications or rest can help alleviate joint pain. Balance your activities to avoid overexertion.
- Physical Activity: Engage in gentle stretching and low-impact exercises, such as walking or swimming, to maintain mobility and potentially reduce muscle soreness.
- Monitor Symptoms: Keep a journal of your symptoms, particularly any changes in your pain or tingling sensations, as this information can be valuable for your healthcare provider.
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Dietary Adjustments: Considering your gastrointestinal symptoms, staying hydrated and consuming a balanced diet rich in fiber can help alleviate constipation and improve overall well-being.
Stay proactive about your health, and reach out with any questions or if new symptoms arise.
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We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.