MRI Lumbal simmetric bulging

Lumbosacral MRI examination without contrast
piece axial-sagittal T1W, T2W, STIR
           
MR lumbar mielograph
- Looks multilevel indented anterior et posterior lumbar level
- Invisible radicular cyst

MRI lumbar
- Alignment well, invisible listesis.
- Normal curvature. Lordotik enough.
- Looks pemipihan mild form of wedging anterior corpus VTh.12 and VL.1
- The intensity of the vertebral body appears heterogeneous
- Looks osteophytes in the lumbar vertebral body
- Endplate looks irregular, especially VL.2-3 and VL.5-S.1
- Looks endplate changes become hyperintense signal intensity on T1-T2W on inferior-superior VL.2 VL.3
- Looks intervertebral disc space narrowing VL.5-S.1
- Looks changes in signal intensity level lumbar disc intervebralis be hipointens in T1-T2W
- At the level VL.2-3:
Looks symmetric bulging disc which causes suppression thecal neural foramen stenosis sac.Tak looked right and left and spinal canal stenosis.
- At the level VL.3-4 and VL.4-5
Looks symmetric bulging disc which causes suppression thecal sac.Tampak right neural foramen stenosis mild left. Looks thickening of the ligament flavum. Looks mild spinal canal stenosis at that level
- At the level of VL.5-S.1
Looks symmetric bulging disc which causes suppression thecal sac.Tampak neural foramen stenosis was mild stenosis of the right and left neural foramen. Invisible spinal canal stenosis.
- Invisible facet joint effusion
- Conus medulare high as VL.1

Impression :
- Lumbar Spondylosis
- Pemipihan mild form of wedging anterior corpus VTh.12 and VL.1
- Degenerative endplate VL.2-3 (MODIC II)
- Narrowing of the intervertebral disc space VL.5-S.1
- Symmetric bulging disc VL.2-3
- Symmetric bulging disc VL.3-4 and VL.4-5 that causes mild stenosis of the neural foramen right and left. Thickening of the ligament flavum and VL.4-5 VL.3-4 level. VL.3-4 mild spinal canal stenosis and VL.4-5
- Symmetric bulging disc VL.5-S.1 that cause neural foramen stenosis was mild stenosis of the right and left neural foramen.



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