ZocdocAnswersI have been dealing with low lumbar pain for over 6 years. What does this MRI result mean?

Question

I have been dealing with low lumbar pain for over 6 years. What does this MRI result mean?

I have been dealing with low lulmbar pain for over 6 years. Now need surgery. Getting more opinions. Dominant well defined T1 and T2 bright signal lesion in the vertebral body 2cm

Answer

I'm sorry to hear about your chronic low back pain. As always, you should always consult your orthopaedic or neurosurgical spine surgeon for definitive evaluation and treatment. Certainly, please consult them or even present to the emergency department should your symptoms change for the worse. Without being able to examine you or review your MRI personally, it is difficult for me to definitively comment on what your MRI demonstrates. That said, based on your symptoms and the description of your MRI results, you have an enhancing lesion in one of your vertebral bodies that is about 2cm in diameter. As you may know, your spinal column is made up of stacks of vertebral bodies (puck-shaped bones) that provide the structure and scaffolding housing your spinal cord. When an MRI shows a bright or enhancing lesion, it usually suggests a mass of some sort, whether it be a fluid filled (like a cyst) or solid (like a tumor). Unfortunately, an MRI can't tell you specifically what the mass is, only it's characteristics. I would encourage you to continue seeking opinions regarding this. Certainly, I would advise you to follow up sooner with your spine surgeon, or potentially even present to the emergency department should your symptoms change for the worse.

This answer is for general informational purposes only and is not a substitute for professional medical advice.

If you think you may have a medical emergency, call your doctor or (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment. Medical professionals who provide responses to health-related questions are intended third party beneficiaries with certain rights under Zocdoc’s Terms of Service.