Case:Leg Pain 001: Difference between revisions
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=Imaging 1= | =Imaging 1= | ||
You refer him for an MRI of his lumbar spine to query spinal stenosis | You refer him for an MRI of his lumbar spine to query spinal stenosis | ||
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File:Leg pain case 001 MRI Lumbar Spine Sagittal Median.jpg|Sagittal Median | |||
File:Leg pain case 001 MRI Lumbar Spine Sagittal Paramedian.jpg|Sagittal Paramedian left | |||
File:Leg pain case 001 MRI Lumbar L4-5 Transarticular.jpg|L4-5 Transarticular | |||
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*Five lumbar type vertebrae in normal alignment. ย | *Five lumbar type vertebrae in normal alignment. ย | ||
*No central spinal canal stenosis | |||
*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 disease. 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 disease. ย | ||
*At L4/5 | *At L4/5 left sided annular tear. 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 tissue oedema is seen. 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 tissue oedema is seen. ย | ||
*The visualised SI joints appear unremarkable. | *The visualised SI joints appear unremarkable. |