Case:Leg Pain 001: Difference between revisions
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|title=MRI Lumbar Spine Report | |title=MRI Lumbar Spine Report | ||
|text= | |text= | ||
*Five lumbar type vertebrae in normal alignment. ย | *Five lumbar type vertebrae in normal alignment. ย | ||
*Mild disc disease with Schmorl's nodes are seen at L1/2 and L3/4 and L4/5. At L1/2 and L2/3 no focal disc protrusion neural compromise or foraminal narrowing is seen. ย | *Mild disc disease with Schmorl's nodes are seen at L1/2 and L3/4 and L4/5. At L1/2 and L2/3 no focal disc protrusion neural compromise or foraminal narrowing is seen. ย | ||
*At L3/4 there is minor bulging of the disc annulus with a shallow left paracentral bulge but without neuralย compromise or foraminal narrowing there is mild facet | *At L3/4 there is minor bulging of the disc annulus with a shallow left paracentral bulge but without neuralย compromise or foraminal narrowing there is mild facet disease. ย | ||
disease. ย | |||
*At L4/5 no focal disc protrusion neural compromise or foraminal narrowing is seen. But there is left lateral recess stenosis with mild neural contact, but no neural compression. There are small facet effusions with mild facet disease. ย | *At L4/5 no focal disc protrusion neural compromise or foraminal narrowing is seen. But there is left lateral recess stenosis with mild neural contact, but no neural compression. There are small facet effusions with mild facet disease. ย | ||
*At L5/S1 no focal disc protrusion neural compromise or foraminal narrowing is seen. There is moderate hypertrophic facet disease. No abnormal bone marrow or soft | *At L5/S1 no focal disc protrusion neural compromise or foraminal narrowing is seen. There is moderate hypertrophic facet disease. No abnormal bone marrow or soft tissue oedema is seen. ย | ||
tissue oedema is seen. ย | |||
*The visualised SI joints appear unremarkable. | *The visualised SI joints appear unremarkable. | ||
*Conclusion: L4/5 left lateral recess stenosis contacting the descending left L5 nerve root but no compression. | *Conclusion: L4/5 left lateral recess stenosis contacting the descending left L5 nerve root but no compression. | ||
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You bring him back in for a vascular examination and ankle brachial pressure index (ABPI) measurement | You bring him back in for a vascular examination and ankle brachial pressure index (ABPI) measurement | ||
''' | '''Vascular examination''' | ||
* left side:ย unable to feel femoral, popliteal, DP or PT pulses | * left side:ย unable to feel femoral, popliteal, DP or PT pulses |