what does slight progression of degenerative marrow
in the l5 - s1
Discogenic marrow endplate changes at C5-6 refer to degenerative alterations in the vertebral endplate at that specific level of the cervical spine, likely due to wear and tear over time. This can lead to decreased disc height, altered biomechanics, and potentially contribute to symptoms such as neck pain or radiculopathy. Treatment may involve conservative measures like physical therapy, pain management, or in some cases, surgery.
Modic changes, a common observation in MR imaging, are signal intensity changes in vertebral body marrow, adjacent to the endplates of degenerative discs.Michael T. Modic, MD, professor of radiology and neurology at Case Western in Cleveland, wrote about these changes in the journal Radiology in 1988, and his name has been associated with these changes ever since.Modic changes take 3 main forms:Type I· Decreased signal on T1, and increased signal on T2.· Represents marrow edema.· Associated with an acute process.· Histological examination shows disruption and fissuring of the endplate and vascularized fibrous tissues within the adjacent marrowType II - the most common type· Increased signal on T1, and isointense or slightly hyperintense signal on T2.· Represents fatty degeneration of subchondral marrow.· Associated with a chronic process.· Histological examination shows endplate disruption with yellow marrow replacement in the adjacent vertebral body.Type I changes convert to Type II changes with time, while Type II changes seem to remain stable.Type III· Decreased signal on both T1 and T2.· Correlate with extensive bony sclerosis on plain radiographs.· Histological examination shows dense woven bone; hence, no marrow to produce MRI signal.MODIC CHANGES on MRIT1T2SignificanceTYPE 1¯­EdemaTYPE II­® (or slight­)Fatty DegenerationTYPE III¯¯Bony Sclerosis
Modic changes, a common observation in MR imaging, are signal intensity changes in vertebral body marrow, adjacent to the endplates of degenerative discs.Michael T. Modic, MD, professor of radiology and neurology at Case Western in Cleveland, wrote about these changes in the journal Radiology in 1988, and his name has been associated with these changes ever since.Modic changes take 3 main forms:Type I· Decreased signal on T1, and increased signal on T2.· Represents marrow edema.· Associated with an acute process.· Histological examination shows disruption and fissuring of the endplate and vascularized fibrous tissues within the adjacent marrowType II - the most common type· Increased signal on T1, and isointense or slightly hyperintense signal on T2.· Represents fatty degeneration of subchondral marrow.· Associated with a chronic process.· Histological examination shows endplate disruption with yellow marrow replacement in the adjacent vertebral body.Type I changes convert to Type II changes with time, while Type II changes seem to remain stable.Type III· Decreased signal on both T1 and T2.· Correlate with extensive bony sclerosis on plain radiographs.· Histological examination shows dense woven bone; hence, no marrow to produce MRI signal.MODIC CHANGES on MRIT1T2SignificanceTYPE 1¯­EdemaTYPE II­® (or slight­)Fatty DegenerationTYPE III¯¯Bony Sclerosis
Prominent fatty Modic endplate changes at the L5-S1 level indicate alterations in the vertebral endplates, often associated with degenerative disc disease. These changes are characterized by the presence of fatty marrow replacement in the bone surrounding the disc, which can signify chronic inflammation or degeneration. Clinically, they may correlate with back pain or other symptoms but do not always indicate a direct cause-and-effect relationship. Further evaluation may be needed to determine their significance in the context of the patient's overall condition.
Degenerative marrow signal change refers to alterations observed in bone marrow, typically seen on imaging studies like MRI, due to degenerative processes such as osteoarthritis or disc degeneration. These changes often manifest as variations in signal intensity, indicating the presence of edema, fatty replacement, or other structural changes in the marrow. Such findings can help in diagnosing conditions related to joint and spine degeneration, providing insights into underlying pathology. It's important to correlate these imaging findings with clinical symptoms for accurate diagnosis and management.
Marrow edema and mild endplate findings could be inflammatory spondyloarthropathy. This could indicate anything from ankylosing spondylitis (AS)and back pain associated with psoriatic arthritis or inflammatory bowel disease (IBD).
Bone marrow edema in the cervical spine refers to a condition where there is swelling or fluid accumulation in the bone marrow of the cervical vertebrae. This can be caused by various factors such as injury, inflammation, or degenerative changes. It can lead to pain, stiffness, and decreased range of motion in the neck.
Focal marrow edema of the coccyx segment refers to localized swelling or inflammation in the bone marrow of the coccyx, or tailbone. This condition can result from various causes, including trauma, infection, or degenerative changes. It may manifest as pain or discomfort in the lower back or pelvic region. Diagnosis is typically confirmed through imaging studies like MRI, which can reveal the extent and nature of the edema.
Modic type 2 changes refer to a specific type of bone marrow edema seen on MRI, typically associated with degenerative disc disease. These changes indicate an increase in fatty marrow and are often found in the vertebrae adjacent to degenerated intervertebral discs. While Modic type 2 changes can be asymptomatic, they are sometimes linked to chronic low back pain. Their clinical significance is still debated, and they may reflect underlying disc degeneration rather than direct pain causation.
This condition is known in common terms as Dowager's Hump. It is an abnormal outward curvature of the vertebrae of upper back. It due osteoporosis changes in the thoracic spine and mostly affects postmenopausal women.
Red marrow hyperplasia is the increased production of red blood cells in the bone marrow. Heterogeneous marrow pattern narrowing replacing lesion refers to abnormal changes in the bone marrow, potentially indicating infiltration of malignant cells like in multiple myeloma. These findings suggest that the bone marrow of the spine is being affected by an infiltrative process, which could be indicative of multiple myeloma.
In adults, most bones contain yellow marrow (primarily fat).In children this is often red marrow (to generate blood cells), but changes to yellow marrow as we age.