楼主 (北美华人网)
刚收到的核磁共振检查报告还没来得及找医生,有懂的朋友请帮忙看看有没有什么问题啊Date of service: 8/24/20 Indication: Low back pain status post MVA Comparison: None available. Technique: Utilizing a 1.5T MR scanner, an MRI of the lumbar spine was performed without intravenous contrast using multiple sequences in multiple planes. Findings: The vertebral body heights are maintained. There is no evidence of acute fracture. There is endplate irregularity and degenerative change most notable at L1-L2. The bone marrow signal is otherwise unremarkable. There is a normal lumbar lordosis without significant subluxation. Disc desiccation is seen throughout the lumbar spine with moderate to severe disc height loss at L1-L2. The conus medullaris demonstrates normal signal and terminates at the T12-L1 level. The paravertebral soft tissues are unremarkable. Findings by level on axial images: T12-L1: There is no significant disc herniation. There is no significant central canal or neural foraminal stenosis. There is no significant facet arthropathy. L1-L2: 5 mm broad-based posterior disc protrusion causes moderate to severe central canal stenosis with crowding of nerve roots without significant neural foraminal narrowing. L2-L3: 2 mm left paracentral focal disc protrusion causes mild central canal stenosis without significant neural foraminal narrowing. L3-L4: There is no significant disc herniation. There is no significant central canal or neural foraminal stenosis. There is no significant facet arthropathy. L4-L5: 2-3 mm broad-based posterior disc protrusion with mild to moderate facet arthropathy causes moderate left subarticular recess and neural foraminal stenosis. L5-S1: There is no significant disc herniation. There is no significant central canal or neural foraminal stenosis. There is no significant facet arthropathy. Impression: 1. Mild to moderate multilevel degenerative disc disease most notable at L1-L2 with a 5 mm broad-based posterior disc protrusion causing moderate to severe central canal stenosis with crowding of nerve roots . 2. At L2-L3, 2 mm left paracentral focal disc protrusion causes mild central canal stenosis without significant neural foraminal narrowing. 3. At L4 L5, 2-3 mm broad-based posterior disc protrusion with mild to moderate facet arthropathy causes moderate left subarticular recess and neural foraminal stenosis.