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I just got my MRI result and they say that I might have masses in my Cauda Equina, what should I do?

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duytdbui
duytdbui

Hello everyone,

I am a 19 yo male.

Weight: 299 lbs

Height: 6ft0in

I have been experiencing lower back pain for around 4 months now. At first I though it was just because of me lifting heavy stuff. But it got worse and I finally went to my doctor for consultation. He sent me to a neurosurgeon and he ordered an MRI. Got it done and here is the result:

MRI-3T LUMBAR SPINE NON CONTRAST

History: Low back pain radiating to the left lower extremity.

TECHNIQUE: Sagittal T1-weighted, T2-weighted and STIR images were supplemented by axial proton density images and axial T1-FLAIR images on a 3.0 Tesla system.

Comparison examination: Plain film studies dated April 20 and March 17, 2020.

Alignment: Minimal Grade I spondylolisthesis at L5-S1.

L4-5: Mild degenerative disc disease with a central disc herniation without thecal sac or nerve root compression.

L5-S1: Grade I spondylolisthesis secondary to bilateral spondylolysis of L5 without compression of the L5 nerve roots, thecal sac or S1 nerve roots.

Vertebral bodies: No compression fractures are seen.

Conus medullaris: Normal.

Cauda equina: Multiple masses are seen associated with the nerve roots of the cauda equina. There is a mass behind the body of L4 that measures 3.4 mm in anterior-posterior dimension, 4 mm in craniocaudad dimension and 6.2 mm in left-right dimension. A larger mass is seen at the level of the L2-3 disc space that measures 1.5 cm in left-right dimension, 9 mm in anterior-posterior dimension and 2.1 cm in craniocaudad dimension.

Bone marrow signal: No pathologic marrow infiltration or bone marrow edema is seen.

Facet joints: Normal.

Kidneys: Normal.

IMPRESSION:

Multiple masses associated nerve roots of the cauda equina is strongly suggestive of a nerve sheath tumors. Further evaluation with contrast-enhanced MR of the lumbar spine is recommended.

Grade I spondylolisthesis at L5-S1 secondary to bilateral spondylolysis of L5 without thecal sac or nerve root compression.

Mild degenerative disc disease at L4-5 with a central disc herniation without stenosis or nerve root compression.

ICD 10 - Degeneration Lumbar Spine, M51.36

Herniated disc lumbar spine, M51.26

Spondylolisthesis, M43.16

I am shook and do not know what to do. This is new to me. What should I do?

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1 Reply

  • buddah
    buddah duytdbui

    Posted

    What you should do is go back to your Doctor for a firm diagnosis,. it could be a dermoid cyst or it could be something else. But medical treatment and professional ADVICE E IS WHAT YOU NEED. All the best.

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