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What Is The Analysis On The Attached MRI Of The Lumbosacral Spine?
MRI OF LUMBOSACRAL SPINE: -
PROTOCOL:
- SE T1W & TSE T2W SEQUENCES IN SAGITTAL PLANE.
- TSE T2 W SEQUENCE IN AXIAL PLANE.
- STIR SEQUENCE IN CORONAL PLANE.
- MR MYELOGRAPHY USING HEAVILY T2W SEQUENCE IN SAGITTAL AND CORONAL PLANES ON A 1.5 TESLA SCANNER.
There is some degree of straightening of lumbar lordotic curvature. Vertebrae are normal in height, alignment and marrow signal intensity.
Dessicative disc changes and anterior osteophytes are noted at multiple levels. Disc height is reduced at L4-5 with degenerative endplate changes at this level.
There is diffuse disc bulge, thickened ligamentum flavum & facet joint arthropathy at L4-5 compressing the thecal sac and causing spinal canal stenosis with bilateral neural canal compromise (L>R). The mid sagittal diameter and area of spinal canal are 0.8cm and 0.75cm² (lower normal limits are 1.0cm and 1.5cm² respectively. Effusion is detected in the facet joints.
Annular tear, diffuse disc bulge and facet joint arthropathy are visualized at L3-4 indenting the thecal sac.
Diffuse disc bulge is observed at L5-S1 mildly compromising the neural canals bilaterally.
Cord ends at L1 vertebral level and shows normal signal intensity. No abnormal pre or paraspinal soft tissue mass is seen. MR myelography confirms the above findings.
Impression : MR findings reveal lumbar spondylotic changes with
- Diffuse disc bulge, thickened ligamentum flavum and facet joint arthropathy at L4-5 compressing the thecal sac and causing spinal canal stenosis with bilateral neural canal compromise (L>R).
- Annular tear, diffuse disc bulge and facet joint arthropathy at L3-4 indenting the thecal sac.
- Diffuse disc bulge at L5-S1 mildly compromising the neural canals bilaterally.
- To be correlated clinically.
PROTOCOL:
- SE T1W & TSE T2W SEQUENCES IN SAGITTAL PLANE.
- TSE T2 W SEQUENCE IN AXIAL PLANE.
- STIR SEQUENCE IN CORONAL PLANE.
- MR MYELOGRAPHY USING HEAVILY T2W SEQUENCE IN SAGITTAL AND CORONAL PLANES ON A 1.5 TESLA SCANNER.
There is some degree of straightening of lumbar lordotic curvature. Vertebrae are normal in height, alignment and marrow signal intensity.
Dessicative disc changes and anterior osteophytes are noted at multiple levels. Disc height is reduced at L4-5 with degenerative endplate changes at this level.
There is diffuse disc bulge, thickened ligamentum flavum & facet joint arthropathy at L4-5 compressing the thecal sac and causing spinal canal stenosis with bilateral neural canal compromise (L>R). The mid sagittal diameter and area of spinal canal are 0.8cm and 0.75cm² (lower normal limits are 1.0cm and 1.5cm² respectively. Effusion is detected in the facet joints.
Annular tear, diffuse disc bulge and facet joint arthropathy are visualized at L3-4 indenting the thecal sac.
Diffuse disc bulge is observed at L5-S1 mildly compromising the neural canals bilaterally.
Cord ends at L1 vertebral level and shows normal signal intensity. No abnormal pre or paraspinal soft tissue mass is seen. MR myelography confirms the above findings.
Impression : MR findings reveal lumbar spondylotic changes with
- Diffuse disc bulge, thickened ligamentum flavum and facet joint arthropathy at L4-5 compressing the thecal sac and causing spinal canal stenosis with bilateral neural canal compromise (L>R).
- Annular tear, diffuse disc bulge and facet joint arthropathy at L3-4 indenting the thecal sac.
- Diffuse disc bulge at L5-S1 mildly compromising the neural canals bilaterally.
- To be correlated clinically.
Tue, 29 May 2018
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
These findings of the MRI done on your lumbar spine indicate that there are moderate to severe degenerative changes that have caused and narrowing of the spinal cord and compression on the nerves. Treatment in such cases is initially conservative ( NSAID drugs use, physical therapy, spinal injections ) and, in cases of conservative treatment failure, decompressive and stabilizing spinal surgery.
Hope I have answered your query. Let me know if I can assist you further.
These findings of the MRI done on your lumbar spine indicate that there are moderate to severe degenerative changes that have caused and narrowing of the spinal cord and compression on the nerves. Treatment in such cases is initially conservative ( NSAID drugs use, physical therapy, spinal injections ) and, in cases of conservative treatment failure, decompressive and stabilizing spinal surgery.
Hope I have answered your query. Let me know if I can assist you further.
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