Top
40
Doctor insights on: What Is A Foraminal Lateral Annular Fissure Mean

Share
1

1
What does a concentric disc bulge with superimposed central disc protrusion and an midline annular fissure mean?

What does a concentric disc bulge with superimposed central disc protrusion and an midline annular fissure mean?

Disc bulge: It sounds like a description by a radiologist after MRI showing degeneration of a disk, with bulging of the outer part of the disc, similar to a jelly filled donut.
The protrusion usually means that some of the jelly is almost protruding or coming out through the outer part of the donut (or disk in this case). This could be a source of low back pain, or leg pain if the bulging is close to a nerv ...Read more

Fissure (Definition)

Grooves or clefts in various anatomical structures such as the brain (transverse fissure between cerebrum & cerebellum), the skull (sphenoidal fissure), the liver (for the ligamentum teres), the lung (oblique fissure), the spinal cord (ventral median fissure), or other structures such as the palpebral fissure between upper & lower eyelids. Can also be a tear in a structure ...Read more


2

2
MRI- "l/4-l-5 disc desiccation. Small central protrusion w/ tiny posterior annular tear. No canal stenosis or sig. Foraminal narrowing". What it mean?

MRI- "l/4-l-5 disc desiccation. Small central protrusion w/ tiny posterior annular tear. No canal stenosis or sig. Foraminal narrowing". What it mean?

Some pain: The disc is between two vertebrae, the spine. They act like shock absorbers. When they have a problem they bulge out of their space. It sounds like it sticks out and touches some nerves. The disc has a band around it. It may tear like yours did. The point where nerves leave the spinal cord, the exit foramen is ok. ...Read more

3

3
What does it mean when "internal" hemorrhoids are on the "anal verge"? I've been checked numerous times for the pains I have - no anal fissures.

What does it mean when "internal" hemorrhoids are on the "anal verge"? I've been checked numerous times for the pains I have - no anal fissures.

Beyond the orifice: The anal verge is the distal end of the anal canal, forming a transitional zone between the epithelium of the anal canal and the perianal skin. Please google netterimages. Com for a picture of the site of the anal verge. ...Read more

4

4
Do anal fissures go away on their own? I saw a very small amount of blood in my stool once and some pain does that mean I have it? How can I tell?

Do anal fissures go away on their own? I saw a very small amount of blood in my stool once and some pain does that mean I have it? How can I tell?

Get exam: With blood in your stool, it is always best to get an examination. An examination, not by yourself using mirrors etc, can be diagnostic and at the same time assure it is not something more serious. Many things can cause some blood, even a large strained BM that causes minor lacerations. Etc. May do it. As stated though, best to get an exam, Good luck. ...Read more

5

5
Non significant disc bulges & minor postero central annular fissures at l3-l4 and l4-l5. Small circumferential disc bulge at l5-s1. Please advise.?

Non significant disc bulges & minor postero central annular fissures at l3-l4 and l4-l5. Small circumferential disc bulge at l5-s1. Please advise.?

49 year old spine: Sounds like you have the spine of a 49 year old. It is very common to have minor abnormalities of the discs as you get older. These only become significant when there is a neurologic deficit or pain which directly correlates with the findings on mri. With the findings on this MRI no neurologic findings are expected. Pain is possible but it will be difficult to blame your discs. ...Read more

7

7
Hi Doctor, I am male, 41 yrs, my MRI report says "3rd & Lateral ventricles, cortical sulci & sylvian fissures are mildly prominent" is it alarming?

Hi Doctor, I am male, 41 yrs, my MRI report says "3rd & Lateral ventricles, cortical sulci & sylvian fissures are mildly prominent" is it alarming?

No significance: This is called an incidental finding seen on your MRI, it would need to be correlated by your ordering physician with any physical problem you were having, but by itself is not suggestive of problems. ...Read more

8

8
What is an annular fissure? Is having an annular fissure centrally at l4/l5 something serious?

Maybe/or not: I guess we are talking about a lumbar disc, and depending on your level of pain/ incapacity will guide your treatment options. If you are feeling O.K. The MRI findings are not that important. ...Read more

10

10
Shoulder pain, cold hand, annular fissure?

Shoulder pain, cold hand, annular fissure?

Not relevant: You have presented with three separate problems that need separate diagnosis and treatment. See your primary care physician for further investigation. ...Read more

11

11
What does it mean to be "pit and fissure sealant certified"?

What does it mean to be "pit and fissure sealant certified"?

Certified to do them: It basically means that person (usually a dental assistant) has been certified to be able to place sealants. They have received the training. Dentists are of course certified, but don't need to state they are because as a dentist you automatically can place sealants. ...Read more

12

12
I use procto glyvenol cream for my anal fissure afterthat my anus become more painful during excretion does this mean I should stop using the medicine?

Not necessarily: Your anal fissures need to be monitored to make sure they heal and get better. The cream helps in the healing process, but wouldn't prevent pain altogether during defecatio if ulcer still present. Make sure oyu take plenty of stool softerns, to lessen the blow, as much as possible! ...Read more

13

13
Could you explain my report. Stable foci of nodular pleural thickening measuring 3 mm along right minor fissure and 4 mm along right lateral inferior?

Could you explain my report. Stable foci of nodular pleural thickening measuring 3 mm along right minor fissure and 4 mm along right lateral inferior?

There are lots: Of questions here. While you don't say, this sounds like a report from an imaging test such as a CT/MRI of the lung. The pleura is a thin membrane that covers the lungs. Thickening results from scarring, infection, tumors, etc. Unfortunately, most NODULAR pleural thickening is the result of cancer. either metastatic from the lung, breast or elsewhere, or mesothelioma. Your doctor can elaborate. ...Read more

14

14
What do "broad based posterior spurring", "disc osteophyte complex" "mod. Bilateral foraminal narrowing" degenerative endplate uptake" mean?

What do "broad based posterior spurring", "disc osteophyte complex" "mod. Bilateral foraminal narrowing" degenerative endplate uptake" mean?

OSTEOARTHRITIS: "DEGENERATIVE" arthritis (Wear and Tear) of the spine is most likely the reason for these x ray findings! ~

There is treatment
Consult with your PCP (Primary Care Provider)
Hope this helps
Dr Z ...Read more

15

15
Lateral internal sphincterotomy (anal) 2012 for fissure. I have "pressure pain" and extreme painful urgency. Is this normal? Will it ever stop?

Lateral internal sphincterotomy (anal) 2012 for fissure. I have "pressure pain" and extreme painful urgency. Is this normal? Will it ever stop?

It's not normal.: More information will be needed before I could give you a more complete answer. For instance did it begin right after the sphincterotomy or did it develop some time later? I have never heard of "pressure and" and extremely painful urgency him a result of a sphincterotomy. You really need to be seen by the surgeon who did the operation. Good luck. ...Read more

16

16
MRI: "There is mild-mod right foraminal narrowing on the right side at L4-L5. The dural sac and contents appear unremarkable" What does this mean?

MRI: "There is mild-mod right foraminal narrowing on the right side at L4-L5. The dural sac and contents appear unremarkable" What does this mean?

The foramen is: The opening through which a nerve root exits the spinal canal. When it is narrowed, usually by degenerative arthritis and/or a disc herniation, it can pinch or squeeze the nerve root going through it, possibly causing symptoms. In your case it would be the right L4 nerve root. The dural sac is the membrane surrounding the spinal cord. ...Read more

17

17
What is the difference between anterior/posterior anal fissure and lateral anal fissure? What is considered abnormal in terms of anal fissure location

Posterior / anterior: Most "normally located" fissures are due to passage of hard, dry stools or explosive diarrrhea. These are almost exclusively posterior in men but can be anterior in up to 10% of women. These respond well to lateral internal sphincterotomy.
Secondary anal fissures are associated with crohn disease, leukemia and certain other neutropenic blood conditions. Surgery should be avoided. ...Read more

19

19
What is diffuse disc bulge, central protrusion with annular fissure, ligamentum flavum thickening?

What is diffuse disc bulge, central protrusion with annular fissure, ligamentum flavum thickening?

Aging changes: MRI results of the spine often sound terrible, when in fact they represent what we already know....that you are over 45 and your back hurts. What you really want to know from MRI results is if there are any abnormalities which correspond to your specific location and type of pain, which are likely to benefit from having surgery. Speak to your surgeon about his or her interpretation of the films ...Read more

20

20
What does this mean? Moderate left neural foraminal stenosis and abutment of the exiting L4 nerve root

What does this mean? Moderate left neural foraminal stenosis and abutment of the exiting L4 nerve root

Pain generator: This could be causing the left sided sciatic symptoms. Usually need to know more and do an exam to make sense of the pictures. ...Read more

21

21
I have prominate subarachnoid space in my brain and prominate fissure bilaterally. What does this mean im 48 yrs old?

I have prominate subarachnoid space in my brain and prominate fissure bilaterally. What does this mean im 48 yrs old?

Atrophy: Loss of brain matter in relation to fixed volume of the skull. This is manifested as normal fluid spaces and wrinkles of the brain looking much more prominent. ...Read more

22

22
What does this mean? "t12-l1 l1-l4 no focal disk herniation, significant central canal or neural foraminal narrowing"?

What does this mean? "t12-l1 l1-l4 no focal disk herniation, significant central canal or neural foraminal narrowing"?

MRI: These are some of most common problems seen on MRI. So this essentially means that these levels of your spine are normal. ...Read more

24

24
There is left uncovertebral hypertrophy at c5-c6 causing mild to moderate left foraminal stenosis. What does the mean?

Spinal stenosis: This is a condition resulting from degenerative changes in the spine (for you, this would mean the neck). What actually happens is that the bone that protects the spinal cord becomes narrower. This causes pressure at different points on the spinal cord or nerve roots (causing numbness or other symptoms). Here's a great article which might help http://www. Niams. Nih. Gov/health_info/spinal_stenosis/ ...Read more

25

25
I have blood that's colored red, not black in my stool every now and then. What does it mean? Is it from a fissure that has not been able to heal?

I have blood that's colored red, not black in my stool every now and then. What does it mean? Is it from a fissure that has not been able to heal?

Blood in stool: Red blood in the stool (compared to dark blood) usually indicates bleeding in the rectum (could be hemorrhoids or anal fissure) or colon (benign polyp or colon cancer). Colon cancer only starts to become common after age 50. If you're under 50, and have obvious hemorrhoids or a fissure, most doctors would treat this and wait to see if the bleeding stops. Over 50, have an md take a look. ...Read more

26

26
Just had an mri of c spine. Don't know what it means. Severe right and moderatly severe leftneural foraminal stenosis. Endplate changes at base of c2?

Talk to the doctor: Radiology reports always include extraneous stuff that is not meaningful but to the point, the little holes on the lateral portion of your vertebral column where nerve roots exit are called foramina. Whenever the nerve roots get pinched, this is foraminal stenosis. Likely your problem, causing radiating pain down the arms. Talk to whoever ordered the MRI about the next step in your care. ...Read more

27

27
High grade osseous neural foraminal stenosis with cervical spondylosis mean?

High grade osseous neural foraminal stenosis with cervical spondylosis mean?

Pinched nerve: Cervical spondylosis is arthritis in the neck. Foraminal stenosis means narrowing of the space where the nerves exit the spinal canal, in this case caused by bone spurs from arthritis. After they leave the neck these nerves form the three major nerves of the arm, controlling feeling and movement. Stenosis can cause pain, weakness, numbness or tingling in the arm or hand. High grade = severe. ...Read more

28

28
Mri-c6-7 there are bilateral uncovertebral osteophytes causing bilateral neural foraminal stenosis. What does this mean?

Mri-c6-7 there are bilateral uncovertebral osteophytes causing bilateral neural foraminal stenosis. What does this mean?

MRI: The radiologist is describing small spicules of bone that are causing some narrowing of the bony canal through which the nerve runs. The mr findings would have to be correlated to your clinical findings and a neurologist might be helpful there. ...Read more

29

29
I got an MRI and it says c5-6 and c6-7 - small posterior central disc protrusion and annular fissure, what should I do, what is it?

I got an MRI and it says c5-6 and c6-7 - small posterior central disc protrusion and annular fissure, what should I do, what is it?

Nothing: These are very minor abnormalities. You should direct this question as well to the doctor who ordered the mri. ...Read more

30

30
What does hypertrophic change at the T9-T10 facets bilaterally -severe left, moderate right osseous neural foraminal stenosis mean? Lots of pain

What does hypertrophic change at the T9-T10 facets bilaterally -severe left, moderate right osseous neural foraminal stenosis mean? Lots of pain

Cause for back pain.: It means your main nerves coming from your spine that run through your vertebrae can be suffering of compression because overgrowth of the bony area is squeezing it/them. The pain is caused by the nerve itself that might be irritated by contact with the vertebra. Nerves transmit sensation so pain is triggered this way. F/u with your doctor to create a plan of action for treatment. ...Read more

31

31
What is the likelihood of having spinal tumors when degenerative disk disease has been assessed at 27? L4-l5 annular fissure has now became herniated

What is the likelihood of having spinal tumors when degenerative disk disease has been assessed at 27? L4-l5 annular fissure has now became herniated

Lumbar disc: Highly unlikely of a tumor. Modern imaging rules this out 99 % of the time. Radiologists often leave differentials in their reports...Ie a list of common and uncommon possibilities. Consult a spine surgeon, physiatrist, or neurologist for further analysis. ...Read more

32

32
C3-c4c4-c5 left paracentral osteochondral bar indenting thecal sac no foraminal stenosis. C5-c6 central osteochondral bar indenting thecal sac. Means?

C3-c4c4-c5 left paracentral osteochondral bar indenting thecal sac no foraminal stenosis. C5-c6 central osteochondral bar indenting thecal sac. Means?

Spinal stenosis: That is another way to describe a condition known as spinal stenosis. One way to say it is that you have developed some bone spurs (oseochondral bars) that are narrowing (narrowing equals stenosis) the central part of the nerve canal but not the for amen. I would discuss your findings and treatment options with your doctor. ...Read more

34

34
What does Degenerative change, greatest at C5/C6 with moderate spinal canal and bilateral moderate to severe neural foraminal compromise mean?

What does Degenerative change, greatest at C5/C6 with moderate spinal canal and bilateral moderate to severe neural foraminal compromise mean?

Foraminal compromise: Implies the 6th cervical nerve root may be compressed (leading to potential muscle weakness in the upper arm and or radicular pain down to the thumb or index finger) Further information is needed (exam findings) to sort out the significance of both this and the central canal stenosis (I would discuss this with your neurologist or neurosurgeon) ...Read more

35

35
Right disc herniation c5-c6-right lateral stenosis severe right foraminal stenosis. Tried spinal decompression and trigger p. Injec. What else to try?

Right disc herniation c5-c6-right lateral stenosis severe right foraminal stenosis. Tried spinal decompression and trigger p. Injec. What else to try?

Most resolve with: Time but medication like oral steroids or nsaid's if no contraindications along with meds like Neurontin (gabapentin) may help along with wearing a soft cervical collar reversed when sleeping or reading. Cervical epidural injections are a consideration and if no better after 12 weeks of symptoms, surgery can be considered if symptoms warrant this intervention. ...Read more

36

36
Mri-very mild broad disc bulge with posterior element hypertrophic changes causing minimal neural foraminal stenosis inferiorly. What does this mean?

Mri-very mild broad disc bulge with posterior element hypertrophic changes causing minimal neural foraminal stenosis inferiorly. What does this mean?

"Arthritic spurs": The radiologist that read the MRI is simply referring to arthritic spurs that are growing forward into the small space on each side of the spine where the nerves exit.

Keep in mind that this is very common in people with no pain at all. This is only relevant if it correlates with your symptoms and physical exam findings. ...Read more

37

37
An MRI of my knee shows a fissure of the lateral facet, nearly perpendicular, extending through the full cartilage thickness with a small focus of und?

Question? HT Prime.: I assume you have a question regarding this finding on MRI, however none is stated. If you are having symptoms & want to know treatment options, I suggest you use HealthTap Prime so you can talk to a live doctor, upload the pictures & MRI report, & discuss how the symptoms developed. That way, your doctor'll have the best information with which to give you good advice. Hope you feel better soon. ...Read more

38

38
Mri says c5-6&c6-7-small posterior central disc protrusion and annular fissure, is it serious? Can I crossfit & do exercise with weights? Any precautions

Mri says c5-6&c6-7-small posterior central disc protrusion and annular fissure, is it serious? Can I crossfit & do exercise with weights? Any precautions

Continue living: In the absence of symptoms, you should continue to stay active. Nothing sounds bad enough to need intervention. Use your common sense with activity. ...Read more

39

39
What does this mean and what is the treatment besides pain management? There are central to right paracentral protrusions at t6-t7 and t7-t8 which project against and appear to be displacing the right sie of the cord. There is no significant foraminal nar

What does this mean and what is the treatment besides pain management? There are central to right paracentral protrusions at t6-t7 and t7-t8 which project against and appear to be displacing the right sie of the cord. There is no significant foraminal nar

Thorasic disc: Besides pain management (medications), injection therapy such as epidurals can be attempted. However, consultation with a spine surgeon (orthopedic spine or neurosurgeon specializing in spine) is warranted given finding of displaced cord. Depending on the symptoms, surgery is sometime the best option. Physical med & rehab (physiatry) consultation can also be a good starting point. ...Read more

40

40
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