MRI LUMBAR SPINE
HISTORY: Back pain with left lower extremity radicular symptoms
COMPARISON STUDIES: None available
TECHNIQUE: Multiplanar sequences with T1, intermediate, T2, and/or T2*-weighted image contrast.
FINDINGS:
Generall: Lumbar alignment is normal. No evidence for fracture or neoplasm. Transitional lumbosacral anatomy with a rudimentary disc at the S1-2 level.
L1-2, L2-3, L3-4, L4-5: No significant abnormality.
L5-S1: Disc degeneration with loss of disc height and T2 signal intensity. A small right paracentral disc protrusion abuts the right S1 nerve root. A small hyperintense zone lies with in the posterior annulus fibrosis. Mild bilateral facet arthrosis without canal or foraminal stenosis.
Conus and intraspinal: The conus is normal in position and appearance. No intraspinal lesions.
IMPRESSION:
1. Small right paracentral disc protrusion at L5-S1 with small associated radial tear of the posterior annulus fibrosis. This abuts and slightly displaces the right S1 nerve root.
2. Transistional anatomy with a rudimentary disc at the S1-S2 level.
REASON FOR STUDY: ^Eval. for HNP. on 11/14/06 pt. injured his low back @wk. lifting heavy boxes, pain in low back radiating down lt. leg w/numbness in feet N/A
Would someone please explain the upbove information to me? At least make it easier to understand and as far as the pain & numbness goes would it radiate down the left leg or the right leg since it 'displaces the right S1 nerve root'?
Patient states that he informed the doctor it was his right leg but doctor noted left leg on MRI report. Would this change the whole outcome of the Findings/Impression?
2007-03-09
07:15:00
·
2 answers
·
asked by
~Sheila~
5