MRI of Lumbar Spine

(Verbatim from MRI report of findings.)

IMPRESSION:
Disc dessication and facet joint hypertrophy from L3 through S1, with left posterlateral disc herniation at the L3-4 level. Disc bulging with peripheral annular tearing L4-5. Asymmetric disc bulging with right foraminal stenosis L5-S1. Left renal cyst. Prominence of the junctional zone of the visualized uterus. Magnetic resonance imaging of the pelvis is suggested for further evaluation. 

TECHNIQUE:
Sagittal flexion and extension imaging was performed.

INTERPRETATION:
Flexion and extension imaging demonstrates a Grade 1 anterior spondylolisthesis at the L4-5 level. This reduces on extension imaging.

IMPRESSION:
Grade 1 spondylolisthesis L4-5, noted on flexion imaging. 
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The day after I received this report of findings, which my chiropractor provided me, I then scanned it, and forwarded it onto my endocrinologist, my nephrologist, and my gynecologist.

The nephrologist was the first to respond, as my email inquired about the possibility of an ultrasound prior to my next visit, to which he replied that it was not indicated or necessary at this time.

Uncharacteristically, my endocrinologist replied back that he'd view it the next day, but hasn't gotten back to me, and my gynecologist hasn't acknowledged receiving the email at all.  I will provide a hard copy when I see him in December. No doubt, the back pain is referring to the front of my body, adversely impacting the pain from the adenomyosis; and my adenomyosis is referring pain to my low back.

I have a third MRI scheduled for 9/27. I have an appointment scheduled for 9/30 with my chiropractor (who will provide the report of findings on the thoracic spinal MRI), and the following day, 10/1, I have an appointment with my neurologist, who I will provide hard copies of all three MRIs, and hope to discuss a pain management plan between my neuro and chiropractor, and hopefully not add a third doctor (orthopedist, orthopedic surgeon, or neuro surgeon) to the mix.  I have a "less is more" and "too many chefs ruin the soup" philosophy of having too many physicians involved in my care. I want things nice and organized. But really, I'm tired of being in pain, and beyond that, I'm tired of it impacting my ability to do the things I love doing.