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m*******g 发帖数: 3044 | 1 FINDINGS:
The lumbar spine is in satisfactory alignment. Height of the vertebral
bodies is maintained.
T12-L1: Unremarkable.
L1-2: Unremarkable.
L2-3: Unremarkable.
L3-4: There is a mild bulge of the L3-4 annulus without visible focal
herniation or stenosis.
L4-5: There is a moderate bulge of the L4-5 annulus. Mild hypertrophy is
present of the ligamentum flavum. Dimensions of the lumbar canal at the
lower limits of normal. The AP dimension of the thecal sac measures 8 mm.
L5-S1: Unremarkable.
IMPRESSION:
1. Dimensions of the lumbar canal at the lower limits of normal at L4-5 with
a bulging annulus and mild ligamentous hypertrophy. The AP dimension of the
thecal sac measures approximately 8 mm. Graft
2. There is a mild bulge of the L3-4 anulus without narrowing of the lumbar
canal.
3. There is no visible focal disk herniation. | V*****i 发帖数: 9883 | 2 这个应该算腰椎间盘突出。不过这种术语很多场合定义不同,没必要纠结。
重要的是诊断中的用词bulge和herniation. No herniation是个好事,说明有突出变形
(bulging),椎间盘里的物质还没有脱落出来(herniated). 具体要结合临床症状来处理。
with
the
lumbar
【在 m*******g 的大作中提到】 : FINDINGS: : The lumbar spine is in satisfactory alignment. Height of the vertebral : bodies is maintained. : T12-L1: Unremarkable. : L1-2: Unremarkable. : L2-3: Unremarkable. : L3-4: There is a mild bulge of the L3-4 annulus without visible focal : herniation or stenosis. : L4-5: There is a moderate bulge of the L4-5 annulus. Mild hypertrophy is : present of the ligamentum flavum. Dimensions of the lumbar canal at the
| g*******u 发帖数: 3948 | 3 do a MRI, it's better than CT | m*****a 发帖数: 2160 | 4 单独通过影像学评估疾病的作用非常有限且可能不准确,需要结合临床,由专业医生判
断 |
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