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Can any Diagnose this please

Started by DarrinB on 03/10/2019 6:45pm

Can anyone diagnose this?
TECHNIQUE: Multiple pulse sequences were obtained in multiple projections both prior to and following the intravenous administration of 15 cc of Dotarem from a 15 cc single-use vial.

COMPARISON: None.

FINDINGS: There are multilevel degenerative disc changes and facet joint hypertrophic arthropathy in the lumbar spine.

As seen on the sagittal images, there is evidence of mild bulging of the annulus at T12-L1 with resultant mild compression of the ventral thecal sac.

At L2-L3, there is bulging of the annulus with resultant compression of the ventral thecal sac and bilateral neural foraminal narrowing. The combination of bulging annulus, ligamentum flavum thickening, and bilateral facet joint hypertrophic arthropathy results in mild central spinal canal stenosis at L2-L3.

At L3-L4, there is bulging of the annulus with resultant compression of the ventral thecal sac and right neural foraminal narrowing. There is an annular tear posterolaterally on the right at L3-L4. The combination of bulging annulus, ligamentum flavum thickening, and bilateral facet joint hypertrophic arthropathy results in mild to moderate central spinal canal stenosis at L3-L4.

The patient is status post posterior fusion and apparent left laminectomy at L4-L5. There is evidence of left lateral epidural and left neural foraminal enhancing scar at L4-L5.

Lumbar vertebral body height is maintained. The conus is normal in position and configuration.

IMPRESSION:
1. Multilevel degenerative disc changes and facet joint hypertrophic arthropathy in the lumbar spine.
2. Mild bulging of the annulus at T12-L1.
3. Bulging of the annulus and mild central spinal canal stenosis at L2-L3.
4. Bulging of the annulus and mild to moderate central spinal canal stenosis at L3-L4. There is an annular tear posterolaterally on the right at L3-L4.
5. Status post posterior fusion and apparent left laminectomy at L4-L5. There is evidence of left lateral epidural and left neural foraminal enhancing scar at L4-L5.

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