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Doctor insights on: Barium Enema Changes At The L4 L5 Level

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Barium (Definition)

Barium is a chemical element with symbol ba and atomic number 56. It is the fifth element in group 2, a soft silvery metallic alkaline earth metal. Because of its high chemical reactivity barium is never found in nature as a free element. Its hydroxide was known in pre-modern history as baryta; this substance does not occur as a mineral, but can be prepared ...Read more


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Fusion at L3 L4 lateral herni at L5 moderate bulge l5s1 mild bilat neural foraminal exit stenos should L4 L5 s1 all be fused at this point ? Help pl

Fusion at L3 L4 lateral herni at L5 moderate bulge l5s1 mild bilat neural foraminal exit stenos should L4 L5 s1 all be fused at this point ? Help pl

Surgical risks: It sounds like you have chronic back pain, and that surgery(ies) have not been helpful. The problem with MRI scans of the spine is that they are good at identifying structural changes but do not let us know what is causing the pain. The changes you note on the MRI are common age associated changes. I suggest you see a physical medicine & rehab doctor (non-surgeon) who specializes in the spine. ...Read more

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My X-ray of l/s spine ap/lat shows minimal anterir lysthesis of L4 over L5 with degenrative changes. What it means ?

My X-ray of l/s spine ap/lat shows minimal anterir lysthesis of L4 over L5 with degenrative changes.
What it means ?

Spondylolisthesis: It literally translates to mean a spine bone slipping . Think of the spine as a stack of a child's abc blocks being perfectly aligned in a tower formation and then pushing one a little over another & that displacement is what a spondylolisthesis is in the spine with one bone slipped or displaced over another. There are several different types including degenerative. They rarely progress ...Read more

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Bowel issues 3 years, 4 Ct scans over that time with oral contrast, sigmoidoscopy to 35 cm, only diverticulosis seen, chances of missed cancer?

Bowel issues 3 years, 4 Ct scans over that time with oral contrast, sigmoidoscopy to 35 cm, only diverticulosis seen, chances of missed cancer?

Slim: in spite of the low chance of missing a cancer, a complete colonoscopy would examine the rest of the colon not visualized on sigmoidoscopy. CT is only fair to see colon cancers unless large because stool may get in the way. If you are still concerned then talking to your doctor may resolve these issues. ...Read more

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Spirometric test shows 67% of function ability (3, 5 liters of 5, 2 recommended), but CT shows normal lung structure. How is this possible?

Pre and Post test: CT scanning of the chest was performed to diagnose structural abnormalities, and depending on the type of scan is also used to rule out pulmonary embolism, and to examine vascular structures. Since your FEV1 is low and should be at least 80% of predicted, I would advise a review of all values. In addition, using albuterol pre and post testing can help to define reversibility. ...Read more

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5 mm anterolisthesis of L5 on s1, discogenic disease at l4-l5 and l5-s1, arthritic changes of the facets joints at l4l5, l5-s1, mild flattening L4 l2?

5 mm anterolisthesis of L5 on s1, discogenic disease at l4-l5 and l5-s1, arthritic changes of the facets joints at l4l5, l5-s1, mild flattening L4 l2?

Degenerative Disease: What you are describing are arthritic changes in the lumbar spine, what question are you asking, as I am unclear as to what you want to ask! ...Read more

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Please explain: T12 to S1 the intervertebral disks are dessicated w/a decrease in signal intensity and decrease in disc height at L2/3 level. TY.

Please explain: T12 to S1 the intervertebral disks are dessicated w/a decrease in signal intensity and decrease in disc height at L2/3 level. TY.

Disk degeneration: The disk is made of two types of cartilage: a softer inner nucleus pulposis and a fibrous stiffer annulus fibrosis. As we age, the connective tissue of the body dries out and becomes stiffer, producing wrinkles and bulges in our skin. Other parts of our body sag and bulge as we age, including disks. Disk degeneration is part of the normal aging process past adolescence, as seen on your MRI. ...Read more

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Does the following mean 2 pinch nerves? 1. degenerative disc disease at the C2-C3 level to result in mild to moderate spinal canal stenosis at this level. 2.. Degenerate changes at the C5-C6 and C6-C7 levels resulting in mild to moderate spinal cana

Does the following mean 2 pinch nerves?
1. degenerative disc disease at the C2-C3 level to result in mild to moderate spinal canal stenosis at this level.
2.. Degenerate changes at the C5-C6 and C6-C7 levels resulting in mild to moderate spinal cana

No but can't tell: Spinal canal stenosis can cause spinal cord compression. In order to know if a nerve is pinched in the cervical spine you want to know if there is lateral spinal canal stenosis ore more specifically foraminal stenosis. The foramen is where the nerve comes out of the spine and can be pinched. ...Read more

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Narrowing of the disk space at the L4 5 and L5 s1, loss of disc height, how can we make it fixed?

Narrowing of the disk space at the L4 5 and L5 s1, loss  of disc height, how can we make it fixed?

Disc narrowing: Disc narrowing is a natural aging process. It is just like wrinkles and gray hair. If you live long enough, it will happen to 100% of people. It is not arthritis which is a disease. It is also called degenerative disc disease or loss of height of disc space. ...Read more

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Found ANA level of 1:2560 homogeneous following an EUS procedure to assess the pancreas. Pancreas normal, except bulky. What's causing the high ANA?

Found ANA level of 1:2560 homogeneous following an EUS procedure to assess the pancreas. Pancreas normal, except bulky. What's causing the high ANA?

You need Rheumatolog: You need a rheumatology evaluation. WE look at the positive ANA and do blood tests to investigate why it is high. There are a varfiety of nuclear antigens from the nucleus of a cell that can cause the + ANA. We investigate which of these are present and use this information with the history,physical and other lab to clarify your correct diagnosis. ...Read more

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Explain : subtotal colectomy w/small bowel sigmoid anastomoses which appears to be at the level of the upper pelvis?

Explain : subtotal colectomy w/small bowel sigmoid anastomoses which appears to be at the level of the upper pelvis?

It sounds like...: ...most of your colon was probably removed and the end of your small intestine was primarily surgically connected to the remaining sigmoid colon and rectum. ...Read more

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Can a stable over 4 yrs lung nodule at 5mm grow to 1.6 mm in 12 months or be effected by a dental injected sedative the day before CT scan ?

Lung Nodule: An injected dental sedative has no effect on a lung tumor. A stable nodule may be a tumor, or it could be a scar from a previous localized infection. Most malignant tumors will grow considerably in 4 years; doubling in size in 12 months, however, raises the question that it is either a tumor in a growth phase or a granuloma or other form of chronic infectious process that should be followed up. ...Read more

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Mri: sagittal t2 & flair imag, altho less well seen in the axial plane, is increas signal wthin c5-c6 cervical cord, perhaps an area of myelomalacia, ?

Mri: sagittal t2 & flair imag, altho less well seen in the axial plane, is increas signal wthin c5-c6 cervical cord, perhaps an area of myelomalacia, ?

Myelomalacia: That means that there may or may not be an area of subtle change which may represent myelomalacia in your cervical spine at the c5/6 location. Myelomalacia if present can signify injury that is ongoing or had been there in the past. Only a history and neurological exam can determine if this 'finding' (if any is actually there) is of any clinical relevance. Please be evaluated by a spine surgeon. ...Read more

Enema (Definition)

An enema is the introduction of liquid into the rectum to evacuate the bowels[ principly the colon/ large ...Read more


Dr. William Singer
95 doctors shared insights

Barium Enema (Definition)

Barium enema is a special x-ray of the large intestine, which includes the colon and rectum. Feel ...Read more