I’ve take a trip to the tower, but didn’t read The Wind Through The Keyhole until now. It brought back a lot of memories of The Dark Tower and why I absolutely love the story. The Wind Through The Keyhole was amazing- a story within a story within a story. Loved the Young Tim Ross story and the Skin Man story. Having the OG crew together again was magical. Thoughts? I think It’s time for me to revisit The Dark Tower again…
Just finished The Mist…I thought it was Ok. Definitely near the bottom of my King list. Some good characters and plot was Ok. Thoughts?
Just finished. Wow—exceptional book. Highly recommended
Question-can my lumbar spine issues cause tightening, discomfort and/or sensation in my left abdomen (red. Pic-area circled in yellow). I thought I may have strained the oblique muscle lifting weights (kettle bell) but this tightness/discomfort/sensation hasn’t gone away and it’s been nearly 2 months. It hasn’t gotten worse. I had an abdominal ultrasound a few weeks ago and it was clear. Starting to think my spine is contributing… is this possible? See below lumbar MRI radiology report from 5/25. I’ve been told I need a fusion but have been have been pushing it off…
47 y/o male
5’9” ~180 pounds
Paroxetine
Azelistine
Flonase
Atorvastatin
Non-smoker, non-drinker
Treadmill walk and free weights regularly
Surgeries: sinus surgery 2016, L3/L4 Laminectomy 2020, 2024 C6/C7 ADR
Note: skull lesion 8mm found in 12/24 ; determined to be benign after imaging/monitoring and blood tests by prominent university hospital nuero-surgical oncologist.
Current lumbar issues-
MRI Lumbar Spine 5/31/25
IMPRESSION: 1. Interval right extraforaminal disc protrusion at L3-L4 compressing the right extraforaminal L3 nerve root. With progressive disc space narrowing and interval Modic type I endplate degenerative changes. 2. Moderate central canal stenosis at L3-L4 stable since prior exam. 3. Stable multilevel degenerative disc disease.
Narrative
DATE OF SERVICE: 05.31.2025 MRI SPINE LUMBAR (W+WO) (CPT=72158) CLINICAL INDICATION: Lumbar back pain with radiculopathy affecting right hip and lower extremity
TECHNIQUE: Multiplanar and multisequence MR imaging was performed through the lumbar spine using the standard MR protocol. MR contrast injected: Vial:10 Injected:9. Discarded:1 COMPARISON: 9/26/2020. FINDINGS: Alignment:Stable 2 mm retrolisthesis of L3 on L4. Vertebral body heights:Normal. Conus medullaris:Terminates at mid body of T12 with normal signal and morphology. Bone marrow signal:Modic type I endplate degenerative changes at L3-L4 progressed since prior exam. Vertebral body hemangioma at L1 measuring 2.4 cm stable since prior exam.. Paravertebral soft tissues:Spatula-like morphology to the right L5 transverse process articulating with the right sacral ala (Bertolotti syndrome). L1-L2: Normal L2-L3: Pfirrmann grade 3 disc. Central annular fissure and disc protrusion. Patent neural foramina. Stable mild central canal stenosis. L3-L4: Pfirrmann grade 5 disc. Right extraforaminal disc protrusion compressing the right extraforaminal L3 nerve root. Bilateral facet joint hypertrophy. Progressive moderate right neuroforaminal stenosis. Stable moderate central canal stenosis.. Stable moderate central canal stenosis. L4-L5: Pfirrmann grade 3 disc. Mild bilateral facet joint hypertrophy stable since prior exam with ligamentum flavum hypertrophy. Mild central canal stenosis. Mild bilateral neuroforaminal stenosis. L5-S1: Mild bilateral facet joint hypertrophy. Patent neural foramina. No central canal stenosis.