4 doctors weighed in:

My MRI study reveals diffusely bulging discs at l4-l5, l5-s1 level. Fluid signal intensity at above facet joints, due to facetal arthropathy please explain?

4 doctors weighed in
Dr. Shari Jackson
Radiology
2 doctors agree

In brief: Depends on symptoms

The discs in the lower back (lumbar spine) frequently bulge.
This can cause some back pain but usually doesn't affect the nerves in a 19 yo. If there is a focal disc "herniation" this can cause problems with the nerves. Facet arthropathy means there is some inflammation and/or degeneration of the joint in the back of the vertebra. Fluid around the joint suggests this may be a source of pain.

In brief: Depends on symptoms

The discs in the lower back (lumbar spine) frequently bulge.
This can cause some back pain but usually doesn't affect the nerves in a 19 yo. If there is a focal disc "herniation" this can cause problems with the nerves. Facet arthropathy means there is some inflammation and/or degeneration of the joint in the back of the vertebra. Fluid around the joint suggests this may be a source of pain.
Dr. Shari Jackson
Dr. Shari Jackson
Thank
Dr. Shams Sheikh
Radiology

In brief: Need to see images

Need to see images in order to assess disc herniations.
Would need to see if there is mass effect on traversing or exiting nerve roots. Facet hypertrophy is an ongoing degenerative process, however with changes of synoivitis, fluid in the facet joints can be symptomatic as well.

In brief: Need to see images

Need to see images in order to assess disc herniations.
Would need to see if there is mass effect on traversing or exiting nerve roots. Facet hypertrophy is an ongoing degenerative process, however with changes of synoivitis, fluid in the facet joints can be symptomatic as well.
Dr. Shams Sheikh
Dr. Shams Sheikh
Thank
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