wynik badania

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Proszę o interpretację wyniku.

Badanie MR kręgosłupa lędźwiowego wykonano w sekwencji FSE (obrazy T1-zal., T2-zal., STIR), w płaszczyznach strzałkowych, czołowych i poprzecznych, przed i po podaniu paramagnetycznego środka kontrastowego 
 Dane ze skierowania: uporczywe bóle odcinka L-S. W wywiadze  Ca sutka
 W  prawej masie k. krzyżowej widoczne ognisko 15mm niskiego sygnału w obrazach T-1 oraz T-2 zależncyh ze znacznym wzmocnieniem kontrastowym - obraz budzi podejrzenie zmiany meta.
 Fizjologiczna lordoza lędźwiowa zachowana, Lewowypukłe skrzywienie kręgosłupa lędźwiowego. Miernie nasilone zmiany zwyrodnieniowe trzonów z zaostrzeniem i niewielką  osteofitozą przednio-boczną. Obniżenie intensywności sygnału w obrazach T2-zależnych krążków m-k odcinka lędźwiowego przemawiające za procesem ich dehydratacji. Wysokość krążków m-k zachowana Na dolnej powierzchni trzonu L4 widoczny obszar obrzękowy wykazujący cechy wzmocnienia kontrastowego  - obraz nie jest typowy dla meta i raczej wskazuje na zmian zwyrodnieniowodegeneracyjne Podobny mniejszy obszar widoczny na przednio górnej powierzchni trzpnu L2 Wskazana obserwacja. W poziomach od L1-L2 do L4-L5  umiarkowane uwypuklenie krążka m-k poza obrysy trzonów typu bulging z modelowaniem worka oponowego, zwężeniem zachyłków bocznych i modelowaniem korzeni nerwów rdzeniowych Torbiel Tarlovwa S2-S3 po stronie prawej wlk 14mm
 Poza tym obraz kręgosłupa i kanału kręgowego w odcinku lędźwiowym prawidłowy, widoczny końcowy odcinek rdzenia kręgowego i korzenie ogona końskiego bez zmian.

[Gość Richardanews]

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