What Does This CT Scan Report Indicate?
Findings:
There are five lumbar type vertebral bodies seen. There are anterolisthesis at L4/5 measuring 9mm related to severe facet degeneration. Alignment is otherwise anatomic.
More mild disc and facet degeneration is present elsewhere.
The individual levels are as follows:
L3/4:
Minimal annular bulging with mild facet and flavin hypertrophy, no impingement.
L4/5:
Minimal annular bulging superimposed on the anterolisthesis with severe facet and flavum hypertrophy. There is lateral recess narrowing on both sides with potential for transiting impingement.
L5/S1:
Mild annularbulgingwith moderate facet hypertrophy, no impingement seen.
Mild degeneration changes at the sacroiliac joints.
Conclusion:
Degenerative changes are seen most severe at L4/5 where there is severe degenerative anterolisthesis.
There is lateral recess narrowing with potential for transiting nerve root impingement here.
This could be clarified with MRI if desired.
CT scan findings explained below.
Detailed Answer:
Hello and thanks for using HealthcareMagic.
I have read your question and understand your concerns.
Five are the lumbar vertebrae, so this is a normal thing.
Anterolysthesis means slipped vertebrae at L4/L5 level (9 mm of slipping).
Facet and flavum hypertrophy and discs degeneration together with bulging are all features of degerative spine disease that has affected joints, discs and ligaments of your lumbar-sacral spine.
Transiting impingement refers to compression of the transiting nerve root(s).
Lateral recess narrowing refers to narrowed spaces where the nerve root leaves the spinal cord.
Main problem seems to be anterolysthesis since it is evaluated as severe.
Hope you found the answer helpful. Let me know if I can assist you further.
Take care.