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    Old 12-25-2021, 09:30 AM   #1
    Jeaninemmmm
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    Join Date: Oct 2021
    Posts: 27
    Jeaninemmmm HB User
    Back pain any thoughts?

    EXAM: MR LUMBAR SPINE WITHOUT CONTRAST

    HISTORY: Back pain with bilateral leg tingling and numbness.

    TECHNIQUE: Sagittal T1- and T2-weighted images as well as axial T2-weighted images are performed through the lumbar spine without the intravenous administration of contrast. In addition, sagittal STIR or sagittal fat-suppressed T2-weighted sequence were also performed.

    COMPARISON: Lumbar spine radiographs dated 11/4/2021.

    FINDINGS:

    Grade 2 anterolisthesis of L5 on S1, likely secondary to bilateral L5 pars defects.

    Vertebral body heights are maintained without acute fracture or osseous destructive process.

    Intervertebral disc height loss and desiccation at L5-S1 with posterior annular fissure. Additional mild multilevel intervertebral disc desiccation without significant height loss.

    Conus medullaris and nerve roots of the cauda equina are normal in caliber and signal intensity. Conus medullaris terminates in normal position at L2.

    Segmental Analysis:
    T12-L1: No spinal canal or neuroforaminal stenosis.
    L1-L2: No spinal canal or neuroforaminal stenosis.
    L2-L3: No spinal canal or neuroforaminal stenosis.
    L3-L4: No spinal canal or neuroforaminal stenosis.
    L4-L5: No spinal canal or neuroforaminal stenosis.
    L5-S1: Grade 2 anterolisthesis of L5 on S1 with uncovering/bulging of posterior disc indenting the ventral thecal sac without spinal canal stenosis. Moderate bilateral neuroforaminal stenosis.

    No prevertebral soft tissue swelling. Posterior paraspinal soft tissue structures are unremarkable.

    Circumscribed T2 hyperintense presumed bilateral renal cysts, largest of which measures up to 3.3 cm along the lateral mid pole the left kidney, incompletely characterized.

    IMPRESSION:

    1. Grade 2 anterolisthesis of L5 and S1, likely secondary to bilateral L5 pars defects.
    3. Moderate bilateral L5-S1 degenerative neuroforaminal stenoses.

     
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