Is there hyperlordosis in my spine, as I already have a stiff-person syndrome?

Question

Hi doctor,

I was seen in the ER for abdominal pain that was so bad I could not walk, and I had a fever, but what I am most curious about is the SAG imaging for hyperlordosis. I have the stiff-person syndrome. The report does not really mention anything about my spine, so I do not include it here. I am asking out of curiosity because when I asked my SPS specialist recently, she did not say anything.

I am getting an endoscopy for this reason. It was taken, but I have had a lot of spinal imaging, and it has changed in the last year, like discs moving further to the neural canal or S1-L5 deviating to the left.

I am on the following medications:

Diazepam 40 mg for the stiff-person syndrome, Baclofen 30 mg for the stiff-person syndrome, Montelukast 10 mg, Albuterol inhaler, Advair inhaler (maximum dose before COPD dosing two puffs morning and night), Adderall XR 25 mg for ADHD, Omeprazole 40 mg once a day.

My test was not for this, but I wanted to know within the images, specifically from the side view, if there is hyperlordosis in my spine. I know kyphosis has been mentioned in the past. I have stiff-person syndrome, and my specialist did not really answer my question when I asked her (like literally did not say anything). There is one view that can show my spine, and I think I downloaded it correctly.

Answer 1

Hello,

Welcome to icliniq.com.

Hope you are doing well.

So to answer your specific query about your spine, there is no evidence of hyperlordosis in the imaged spine (D10- L5) in the sagittal view in the images provided to me (attachments are hidden to protect the patient's identity). There is normal lumbar lordosis.

Note it is made of beaver tail liver in abdominal CT (computed tomography).

Hope this helps.

Take care.

Answer 2

Hi,

Welcome back to icliniq.com.

I understand your concern.

Beaver tail liver means the elongated left lobe of the liver, which extends laterally and surrounds the spleen. It is a rare anatomical variant of liver morphology which means it is just a variation in the normal appearance of the liver. The only thing is it might be involved in cases where there is trauma to the left lower chest or left upper abdomen. Otherwise, treatment-wise, nothing needs to be done for it.

The elongated left lobe of the liver resembles a beaver's tail, hence the name.

Kind regards.