Deciphering a CT scan
Hi my name is Jamie and I need some help! I had a lumbar fusion on March 19, 2014 and for at least the last 6 months I have been having severe pain in my back. When I called the surgeon they told me to get the CT scan done because they wanted to make sure that the fusion didn't fail. I had the CT scan done and got the results by email and I don't understand a word in it. If anyone can help my decipher what it says I would greatly appreciate it!! Thank you so much for your time!
Findings: Transitional lumbosacral vertebral body anatomy is present with partial sacralization of the last non rib bearing vertebral body of which there are 6. Comparison preoperative CT and plain radiographic examination counted the last large disc space as L5-S1 and this will be retained for consistency.
With this convention, changes of PLIF L4-S1 are redemonstrated. Hardware appears intact, probably foraminotomies as well. Radiodense markers interbody fusion remain anterior to the posterior cortical margin. There is some loosening around the lowermost pedicle screws counted as S1. There is minimal anterior listhesis of L5 on S1 by a few millimeters (grade 1) prior graft donor site right iliac bone is noted.
Topogram shows surgical clips right upper quadrant suggestive of prior cholecystectomy.
Thank you again to anyone who can help me! I just want to make sure that nothing is wrong!!