รบกวนคุณหมอแปลผล MRI ดังแนบ

MRI OF THE LUMBOSACRAL SPINE. TECHNIQUE AND SEQUENCES: 1.5 Tesla Sagittal T1WI, TZWI, T2WI with STIR, MYELO Axial T1WI, T2WI Coronal T2WI STIR

FINDINGS: No contrast injection due to poor renal function, limited due to motion

The study reveals lordotic alignment of the lumbar spine.

At L4/5 level: there are grade I L4/5 spondylolisthesis. abnormal T1 hypointense and T2/STIR hyperintense marrow involving L4 and superior L5 vertebral bodies, with interior L4 endplate destruction surrounding with hypointense marrow of probably sclerotic change, together with moderate asymmetrical L4/5 disc bulging with few small annular fissure, faint disc's T2 hyperSl and small T2 hypeintense paraspinal soft tissue lesion, possibly spondylodiscitis and degenerative change.

The aforementioned lesions cause moderate spinal canal stenosis at L4/5 level with crowding of cauda equina nerves, narrowed bilateral L4/5 lateral recesses compressing bilateral L5 traversing nerves and moderate to severe stenosis of bilateral L4/5 neural foramina with pressure to bilateral L4 exiting nerves.

The rest of vertebral bodies are of normal heights. There is a 1.6-cm fat-containing lesion at L3 vertebral body, probably vertebral hemangioma.

Small marginal osteophytes and mild hypertrophic facet joints at the rest of lumbar levels are seen, spondylosis. Diffuse degenerative changes of the rest of intervertebral discs are noted, with diffuse mild disc bulging and few scattered small annular fissures.

These cause mild spinal canal stenosis at L3/4 and L5/S1 levels, mild stenosis of bilateral L2/3, L3/4 and L5/S1 neural foramina and mild narrowing of bilateral L3/4 lateral recesses.

The visualized spinal cord and conus medullaris are of normal contour and SI.

Conus medullaris locates at T12/L1 level. No clumping of cauda equina nerves is seen.

The rest of the visualized paraspinal soft tissue and muscles are unremarkable. Bilateral sacroiliac joints and visualized sacrum are within normal limits.

Additional findings show multiple small bilateral renal cortical cysts. There is marked gallbladder distension, please correlate with clinical information.

IMPRESSION: No contrast injection due to poor renal function, limited due to motion - Grade 1 L4/5 spondylolisthesis, abnormal marrow Sl involving L4 and superior L5 vertebral bodies, with inferior L4 endplate destruction surrounding with hypointense marrow of probably sclerotic change, together with moderate asymmetrical L4/5 disc bulging with few small annular fissures, and small paraspinal soft tissue lesion, possibly spondylodiscitis and degenerative changes - Moderate spinal canal stenosis at L4/5 level with crowding of cauda equina nerves, narrowed bilateral L4/5 lateral recesses compressing bilateral L5 traversing nerves and moderate to severe stenosis of bilateral L4/5 neural foramina with

L475 neural foramina with pressure to bilateral L4 exiting nerves. - A 1.6-cm vertebral hemangioma at L3 vertebral body - Lumbar spondylosis and degenerative discs, causing mild spinal ca

degenerative discs, causing mild spinal canal stenosis at L3/4 and L5/S1 levels, mild stenosis of bilateral L2/3. L3/4 and L5/S1 neural foramina and mild narrowing of bilateral L3/4 lateral recesses.