While the MRI scan represents a very sensitive and accurate assessment of spinal anatomy, it cannot distinguish between painful and non-painful structures in the spine. In fact, a patient may have severe back pain and an MRI scan that shows a relatively normal-looking spine, or conversely may have no back pain but the MRI scan reveals a lot of anatomical problems. Thus, the findings on MRI scans do not constitute a diagnosis and the MRI findings must be correlated with the patient’s physical exam and back pain symptoms to arrive at a clinical diagnosis.
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