Dilakukan MRI lumbosacral potongan axial-sagital TI

WI, axial-sagital-coronal T2WI,sagital STIR. Scanning

dilakukan tanpa media kontras.

Curve lurus vertebra lumbalis dengan malalignment

vertebra lumbal 4-5

Tampak osteofit di corpus vertebra lumbalis

Multipel ‘Protruded Disc’ tampak pada intervertebralis

Lumbal 3-4 dan lumbal 5 dengan herniasi nucleus
pulposus ke arah posterior difus yang menekan saccus
thecalis anterior dan radiks spinalis bilateral dengan
derajat stenosis terberat pada intervertebral lumbal 4-
5 karena disertai dengan spondylolisthesis
menyebabkan stenosis canalis spinalis di daderah
tersebut

Disc bulging’ tampak pada intervertebralis Lumbal 2-3

dan lumbal 5-sacrum 1 dengan peregangan
ligamentum anulare yang masih utuh.

Discus intervertebralis lainnya dan Facies articularis

vertebra lumbal dalam batas normal.

Canalis spinalis dan medulla spinalis lainnya yang

masuk area scanning masih memberikan bentuk dan
intensitas signal yang normal

Ligamentum longitudinal anterior, ligamentum

longitudinal posterior, ligamentum interspinosus,
ligamentum supraspinosus dan ligamentum flavum
tidak tampak kelainan.

Jaringan lunak di daerah paravertebra kanan dan kiri

masih dalam batas normal.

Tidak tampak adanya SOL / massa pada intramedula,

intradural ekstramedula maupun ekstradural.

Kesimpulan :

-Multipel ‘Protruded Disc’ intervertebralis Lumbal 3-4

dan lumbal 5 dengan herniasi nucleus pulposus ke arah
posterior difus yang menekan saccus thecalis anterior
dan radiks spinalis bilateral dengan derajat stenosis
terberat pada intervertebral lumbal 4-5 karena disertai
dengan spondylolisthesis menyebabkan stenosis
canalis spinalis di daderah tersebut

-Disc bulging’ intervertebralis Lumbal 2-3 dan lumbal 5-

sacrum 1 dengan peregangan ligamentum anulare
yang masih utuh.

- Spondylosis vertebra lumbalis

- Curve lurus vertebra lumbalis

Coronary CT angiography with Calcium score, Using a
MSCT 128 slices, a preliminary scout study was
obtained, followed by coronary artery calcium
protocol. Following administration of IV contrast for
Coronary CT angiography protocol (retrospective ECG
Trigering was used). Reconstruction including Curve
MPR, 3D, MIP thin.

Medication (-); Artefact (-)

Heart Rate : 71 x/m

Coronary Arteries:

-Calcium score : RCA=105.2 ; LM= 0 ; LAD = 247; LCX =

110.6 => TOTAL : 462,9

-The coronary arteries arise in normal position. There

is right coronary artery dominance

-LM : Medium size. Bifurcates in LAD and LCX. It is

patent with no evidence of plaque or stenosis

-LAD : pLAD Stenosis <25% (calcified plaque), mLAD

Stenosis 50-69% (calcified plaque), dLAD Stenosis <25%
(calcified plaque)

-LCX : pLCx Stenosis <25% (calcified plaque), mLCX

Stenosis 50-69% (calcified plaque), dLCX Stenosis <25%
(calcified plaque)

OM : It is patent with no evidence of plaque or

stenosis

-RCA : pRCA Stenosis <25% (calcified plaque), mRCA

Stenosis 25-49% (calcified plaque)

Cardiac Valves : There is no thickening or

calcifications in the aortic and mitral valves

Pericardium : No effusion, thickening or

calcifications

Extracardiac findings : No significant extracardiac

findings (lung/mediastinum)

Left ventricle Ejection fraction : 40 %

Impression :

-CAD with Moderate stenosis (50-69%) at mLAD and

mLCX, Mild stenosis (25-49%) at mRCA

-Total calcium score : 462,9

(>400 = extensive atherosclerotic plaque burden, High

likelihood of at least one significant stenosis (>90%),
High CVD risk)

Recommendations = Institute very aggressive risk-

factor modification. Consider exercise or stress
phalmacological stress imaging to evaluate coronary
stenosis for inducible ischemia

-Right dominant

-Left ventricle Ejection fraction : 40 %

Stenosis <25% (calcified plaque)

Stenosis 25-49% (calcified plaque)

Stenosis 50-69% (calcified plaque)

Stenosis 70-99% (calcified plaque)

Total oclusion (calcified plaque)