I recently had a Lumbar CT scan for chronic back pain and need help interpreting the results. As a side note, I have Cerebral Palsy.
CT lumbar spine without contrast
Clinical indication: Left-sided sciatica.
Technique: Multiple thin section axial images of the lumbar spine
are obtained in bone and soft tissue algorithm. Coronal and
sagittal reformatted images are provided.
Comparison: No prior imaging is available for comparison.
Findings: For the purposes of this dictation, it is assumed that
there are 5 nonrib-bearing fully segmented vertebral bodies.
Counting is based on this assumption. Sagittal images demonstrate a
grade 1 anterolisthesis of L5 upon S1 by approximately 10 mm. This
is secondary to bilateral pars interarticularis defects at L5-S1.
There is severe degenerative disc disease at L5-S1. The vertebral
body heights are maintained and the remainder of the alignment
Intraspinal contents are not well seen by CT imaging.
Probable physiologic ovarian cyst on the right. This is only
partially imaged. Otherwise, the soft tissues appear unremarkable.
L1-L2: The disc appears within normal range. Mild facet changes. No
significant central canal or neural foraminal stenosis.
L2-L3: The disc is normal. No significant degenerative changes. No
neural foraminal or central canal stenosis.
L3-L4: Diffuse disc bulge. Mild facet disease. Mild central canal
stenosis. There is no significant neural foraminal stenosis.
L4-L5: Diffuse disc bulge. There is degenerative change the
posterior elements. There is moderate to severe central canal
0stenosis. No significant neural foraminal stenosis.
L5-S1: Pars defect. Severe bilateral neural foraminal and moderate
central canal stenosis.
Grade 1 anterolisthesis of L5 upon S1 secondary to bilateral pars
interarticularis defects with severe degenerative disc disease in
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