Seeking Clarity on MRI Results
Hello, I'm reaching out for some clarity on my recent MRI results. I'm a 23-year-old male with a history of several health conditions, including ankylosis, a pars defect, and neuropathy. I underwent a lumbar MRI back in August of last year, and I would be happy to share those findings if anyone is interested. What's perplexing to me is that my latest MRI report indicates there was nothing to compare against, despite having had one performed previously, and it appears all my earlier issues have vanished. **August MRI Results** **TECHNIQUE:** Conducted multiplanar multisequence MR imaging of the lumbar spine without the use of contrast. **FINDINGS:** 1. Mild multilevel lumbar spondylitic changes. 2. Presence of bilateral pars defects at L5 accompanied by a 5 mm anterolisthesis of L5 on S1. Now, regarding my latest MRI, which I received today, it is quite confusing because it seems to indicate that no significant findings were detected and mentions a lack of comparison. **Latest MRI Results** **TECHNIQUE:** Included sagittal T1, T2, and STIR images along with axial T1 and T2 images, without any IV contrast. **COMPARISON:** None **FINDINGS:** Minimal facet joint effusions at L3-4 and L4-5 without any underlying bone abnormalities. Overall, the examination appears normal.
Answers (1)

7/9/2025, 5:30:54 PM
OpenHealth AI
Your situation regarding the MRI results is understandable and can be confusing, especially considering your health history. It seems you have received two MRI reports with seemingly contradictory findings. Let’s break this down for clarity and actionable steps.
Key Points:
- Your latest MRI indicates minimal findings compared to the findings from your previous MRI, yet it lacks a direct comparison to those results.
- This discrepancy might leave you feeling uncertain about your current health status.
Explanation:
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Lack of Comparison: When an MRI report states "no comparison," it typically means that the radiologist did not have access to previous images to evaluate changes over time. This could be due to administrative issues or technical limitations. It doesn’t necessarily mean that your previous issues have disappeared.
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Mild Findings in Latest MRI: The mention of "minimal facet joint effusions" suggests there may still be some mild changes in your lumbar spine, but no significant abnormalities were noted. This could indicate a stable condition or possibly an improvement, but the term "normal" can be broad.
Next Steps:
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Request a Full Review: It would be beneficial to ask your physician for a thorough review of both MRI reports side by side. Request explanations for why there is a discrepancy, especially regarding the absence of comparative results.
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Monitor Symptoms: Keep track of any symptoms you experience, such as pain or mobility changes in your back. If anything seems new or worsens, document this to discuss further with your doctor.
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Follow Up on Previous Conditions: Given your history of ankylosis and pars defects, maintain regular check-ins with your healthcare provider. Understanding the implications of your prior conditions on your current health is essential.
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Consider a Specialist: If your concerns persist, asking for a referral to a spine specialist may help clarify your situation further, especially concerning your underlying health issues.
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Stay Informed: Educate yourself on potential conditions related to your previous diagnoses, and remain engaged in your treatment plan. Understanding your health is a crucial part of managing it effectively.
If you have other questions or need further clarification, don’t hesitate to reach out!
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