{"text":"@ \nRy \nb \n0809555328[CHI]{,,};CLELLAND, Agnes ;08-Sep-1955;Female \" Pagelof2 \n- \n\u00ab,MRI Splne Iumbar and sacral \nRerform__ed 1 3-Mar-2023 07:49 Received- . '24-Mar-202320:47 \nReported 24 Mar\u20142023 20:45 \u00b0 Order Number G107H39154419 \n*Status ! Final ' S >-Source S_ys'tcm MiSys \nMRI Spine lumbar and sacral Final \nAgnes Clelland \nClinical History : \nFall onto bottom\/hip few months ago. Xray shows new L4\/5 I:sthe3|s and pars defect not seen \nbefore, therefore ? fracture. Patient presents with symptoms of stenosis (weak legs after \nwalking a short while) and mechanical sounding back pain-i.e. worse with mobilising. No. \n. findings on examination:. is there an unhealed fracture? is there stenosis from pre existing \ndegenerative changes? Patient quite disabled by this, looking for a surgical target. Previous \nsurgery: forefoot fusions. MEtaiwork still in situ. Patient would prefer Stobhill if this is.an optlon \nto attend scan Many thanks. \u00a2 . = . \n. MRI'LUMBAR AND SACRAL SPINE \nFINDINGS: \nThe conus medullaris lies:at the L1 level: Visualised portions of the spinal cord \u2018are thhm \nnormal Ilmlts in-signal intensity. \nLumbar lordosis.is preserved. The vertebral bodies are W|th|n normal limits in. S|gnal |nten5|ty : \nand morphology, without evudence of vert\u00e9bral body compression. . , - \n~ \nThere-are minor disc bulges at the L1\/2, \u00a32\/3 and L3\/4 levels but no nerve root impingement. \nAt the L4\/5 level there is a grade 1 anterior spondylolisthesis of 14 on L5 with facet jdtnt \nosteoarthrosis causing left L5. nerve root impingement and mlld-to\u2014moderate splnal canal \nstenosis. v \nAtthe L.5\/S1 level there'is a: broad-based disc bnge |mp|ng|ng the left S1 nerve roots and the\u2019 \nbilateral L5 nerve roots \nThe rest of the discs are within normal Ilmlts in'signal intensity and height, without: evidence of a \\ \nsignificant disc bulge:or protrusion. No central canal:or neural foraminal stenosis is identified. \nCONCLUSION: * - _ .' ) \n- Mild-to-moderate spinal canal stenosis and'left L5 nerve root.impingement at the L4\/5.1evel. \nBilateral L5 and left S1 nerve root impingement at the L5\/S1 level \nDr. Koshy Jacob MBBS, MRCP, FRCR \n\u2018Consultant Radlologrst % \nGMC: 5196831 \nAxon Diagnostics \ncllnlcalquenes@axondiagnostics com \nReported by: Dr Koshy Jacob \nVer[fled by: Dr Koshy Jacob \nh\ufb02ps,;\/\/www.ggc-portal.scot.nhs.lik\/results\/SingleResult.actiqn?pageTitle=Single+Radiol..r.;_ 12\/05\/2026 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