Demographics:
87 years old, Female
Indication:
Low back pain
Findings
- Abdominal aortic aneurysm measuring 4.5 cm in anteroposterior diameter with extensive heterogeneous signal intensity mural thrombus
- Height loss of the L1, L2, and L4 vertebral bodies with superior endplate Schmorl’s nodes. No associated T2/STIR signal hyperintensity
- Normal position, contour, and signal of the conus
- Multilevel disc dessication and height loss, most advanced at L2-L3
- Multilevel broad-based disc bulges, facet hypertrophy, and ligamentum flavum thickening contribute to severe spinal canal stenosis and effacement of the subarticular zones at L4-L5, narrowing of the right subarticular zone at L5-S1, and mild multilevel neural foraminal stenosis
- T2 hyperintense structures in both kidneys, likely representing cysts, with right greater than left renal cortical thinning
Diagnosis
Abdominal aortic aneurysm (AAA)
Sample Report
Abdominal aortic aneurysm measuring 4.5 cm in anteroposterior diameter with extensive heterogeneous signal intensity mural thrombus. Recommend vascular surgery evaluation and consideration of dedicated CT imaging of the abdomen.
Height loss of the L1, L2, and L4 vertebral bodies with superior endplate Schmorl’s nodes. No associated T2/STIR signal hyperintensity to suggest acute fracture.
Multilevel broad-based disc bulges, facet hypertrophy, and ligamentum flavum thickening contribute to severe spinal canal stenosis and effacement of the subarticular zones at L4-L5, narrowing of the right subarticular zone at L5-S1, and mild multilevel neural foraminal stenosis.
Discussion