Report
Dr. Yousem has provided the following report as a sample report for your reference. It does not match the case reviewed in the video.
EXAMINATION: CT lumbar spine with contrast.
INDICATION: Trauma.
COMPARISON: None.
TECHNIQUE: Intravenous contrast-enhanced CT of the lower thoracic and lumbar spine. Coronal and sagittal reformats.
FINDINGS:
Acute fractures of the left L1, L2, and L3 transverse processes. The left L2 and L3 fractures appear minimally comminuted. Inferior endplate small Schmorl nodes at L4 and L5. Minimal sacroiliac joint vacuum phenomenon.
The anterior and posterior spinal elements are otherwise aligned. The prevertebral and posterior paraspinal soft tissues are maintained. The vertebral body heights and intervertebral disc spaces are maintained. No significant spinal canal or neural foraminal narrowing the visualized thoracic spine.
T12-L1: No significant spinal canal or neural foraminal narrowing.
L1-L2: No significant spinal canal or neural foraminal narrowing.
L2-L3: Mild disc bulge but no central or neural foraminal narrowing.
L3-L4: Mild disc bulge but no central or neural foraminal narrowing.
L4-L5: Mild disc bulge and minimal bilateral neural foraminal narrowing.
L5-S1: Mild disc bulge with mild right neural foraminal narrowing.
The visualized chest, abdomen and pelvis are unremarkable.
IMPRESSION:
Acute fractures of the left L1, L2, and L3 transverse processes as above.
Faculty
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
Tags
Neuroradiology
Head and Neck
Emergency
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