Neuro_MR_LSpine: 24 F, bilateral extremity tingling.

CLINICAL HISTORY: 24-year-old female with numbness and tingling in arms and legs.
Counting from C2, there are five lumbar type vertebral bodies. The last well-formed disc is labeled as L5-S1.
Localizer image: No visible abnormality.
Alignment: Normal.
Bone marrow: T1 and T2 hyperintensity in L5 vertebral body likely representing hemangioma
Vertebrae: There is congenital narrowing of the spinal canal due to short pedicles. Multi-level degenerative changes as follows:
L1-L2: Normal.
L2-L3: Normal.
L3-L4: Central posterior disc protrusion resulting in moderate spinal canal stenosis. No significant neural foraminal stenosis.
L4-L5: Broad-based posterior disc bulge with annular fissure without significant spinal canal or neural foraminal stenosis.
L5-S1: Normal.
Distal cord and conus: Normal.
Cauda equina and nerve roots: Diffuse enhancement of the cauda equina nerve roots with marked involvement of the posterior nerve roots and mild involvement of the anterior nerve roots. The extra-foraminal 
portions of the nerve roots also demonstrate enhancement.
Extra-vertebral soft tissues: Normal.
Visualized abdomen/pelvis: No visible abnormality.
Additional comment: None.
1.  Diffuse cauda equina nerve root enhancement, posterior greater than anterior. Differential considerations include infectious, 
inflammatory, demyelinating or paraneoplastic etiologies.
2.  Congenital spinal canal narrowing with superimposed degenerative changes at L3-4 and L4-5 discs described above.


Accession: CL27388645

Study description: MR L-SPINE WandWO CONTRAST