MRI Report Findings: Common Questions Explained - Radiology

More Info

---

Understanding MRI reports can be a daunting task, especially when the terminology used is highly technical. In your case, the MRI report indicates a few key findings that warrant further explanation.

1. Patent Intracranial Major Arteries on MRA: This phrase means that the major arteries in your brain, as visualized through Magnetic Resonance Angiography (MRA), are open and unobstructed. This is a positive finding, as it suggests that there are no significant blockages or abnormalities in the major blood vessels supplying your brain. Good blood flow is crucial for brain health, and the absence of stenosis (narrowing) or occlusion (blockage) is reassuring.

2. Endplate Change at Multiple Levels of Lower T-Spine: The term "endplate" refers to the top and bottom surfaces of the vertebrae in your spine. Changes in the endplates can indicate various conditions, such as degenerative disc disease, osteoarthritis, or other forms of spinal degeneration. These changes may manifest as alterations in the bone structure, such as sclerosis (hardening) or irregularities in the bone surface. The report mentions that these changes are present at multiple levels of the lower thoracic spine (T-spine), which could be associated with back pain or discomfort. However, the clinical significance of these findings often depends on your symptoms and the overall clinical picture.

3. Endplate Change at Lower T-Spine: This is a reiteration of the previous point, emphasizing that there are changes noted specifically at the lower thoracic spine. It is important to correlate these findings with any symptoms you may be experiencing, such as pain, numbness, or weakness in your limbs.


Clinical Implications and Recommendations
While the MRI findings provide valuable information, they should be interpreted in the context of your clinical symptoms and medical history. Here are some considerations:
- Symptom Correlation: If you are experiencing back pain, stiffness, or neurological symptoms (like numbness or weakness), it is essential to discuss these with your healthcare provider. They may recommend further imaging, physical therapy, or other interventions based on your symptoms and the MRI findings.

- Follow-Up: Given the endplate changes, it may be beneficial to follow up with a specialist, such as an orthopedic surgeon or a neurologist, who can provide a more comprehensive evaluation and discuss potential treatment options.

- Lifestyle Modifications: Depending on the severity of your symptoms, lifestyle changes such as exercise, weight management, and ergonomic adjustments at work may help alleviate discomfort and improve spinal health.

- Monitoring: If you are asymptomatic, your healthcare provider may suggest monitoring the situation with periodic imaging or clinical evaluations to ensure that there are no progressive changes.

In summary, the findings in your MRI report indicate that your major intracranial arteries are patent, which is a positive sign, while the endplate changes in your lower thoracic spine may require further evaluation depending on your symptoms. It is crucial to have an open dialogue with your healthcare provider to understand the implications of these findings and to develop an appropriate management plan tailored to your needs.