Nina Carpenco Lumbar Mri

Patient's name: NINA CARPENCO
D.O.B: 11 October 1963 MOBILE NO: 056-5779592
Date: 28 February 2023 RN: 80733
MRI examination of the Lumbar Spine
Clinical Data:
 Low back pain.
Technique of the Examination:-
 Sagittal T1, STIR & T2 WIs

 Axial T2 & STIR WIs
 Coronal T2 & STIR WIs
 No contrast was given.
Findings:-
 Spondylodegenerative changes are encountered over the lumbar spine manifested as
vertebral endplates changes, marginal spur formations, anterior osteophytic discal
protrusions notably at DV11/12 through LV1/2 levels, few Schmorl’s nodes, variable degree
of discal dehydration as well as facet osteoarthropathy expressed as sclerosed articular
margins, hypertrophied joint capsules and relative cupping, changes are more impressive
at LV4/5 level where degree of facet sublaxity. Changes are associated with exaggerated
lumbar lordosis, subtle tilting as well as subtle posterior misalignment at DV12/LV1 and
LV1/2 levels.
 At DV11/12 level, there is a posterior central discal protrusion indenting the ventral aspect
of the conus medullaris.
 At DV12/LV1 and LV1/2 levels, there are posterior mild annular disc bulges.
 At LV4/5 level, there is small posterior central discal protrusion indenting the ventral
aspect of the thecal sac. No nerve impingement is noted.
 At LV5/SV1 level, there is a posterior and left posterolateral discal extrusion deforming the
ventral aspect of the thecal sac with caudal migration encroaching upon the left exit
pathway and impinging the left SV1 exiting nerve root.
 The other examined lumbar discs show no significant posterior discal protrusion or
extrusion.
 No signs of canal stenosis.
 No intra-dural soft tissue masses or collection detected.

* THIS REPORT IS GENERATED ELECTRONICALLY AND NEEDS NO SIGNATURE.
Al Wasl Road, Al Safa 2, Al Manara junction, Um Suquaim, Villa 875, POBox 15591, Dubai, UAE, Tel.: (04) 395-22 31, Fax: (04) 395-22 38
E-mail: [email protected] Page 1 of 2
Patient's name: NINA CARPENCO
D.O.B: 11 October 1963 MOBILE NO: 056-5779592
Date: 28 February 2023 RN: 80733
 Fairly defined lytic osseous nodules are noted within the confinement of SV1. They
measure 19x18 mm and 12 x 12mm, emit hypointense signals on T1WIs turning to bright
signals on T2/STIR sequences. Less conspicuous similar changes are noted at the vertebral
bodies of DV12, LV1, LV2 and right iliac bone…For clinico-radiological correlation and
further workup to verify their nature and to rule out condition such as multiple myeloma.
 Mild fatty infiltration of the lower posterior paraspinal musculature with posterior
subcutaneous edematous changes are seen.
Opinion:-
 At DV11/12 level, posterior central discal protrusion indenting the ventral aspect of the
conus medullaris.
 At DV12/LV1 and LV1/2 levels, posterior mild annular disc bulges.
 At LV4/5 level, small posterior central discal protrusion indenting the ventral aspect of
the thecal sac. No nerve impingement.
 At LV5/SV1 level, posterior and left posterolateral discal extrusion deforming the
ventral aspect of the thecal sac with caudal migration encroaching upon the left exit
pathway and impinging the left SV1 exiting nerve root.
 Background of lumbar spondylosis, facet osteoarthropathy with secondary altered
alignment of the lumbar contour.
 Fairly defined lytic osseous nodules measuring 19x18 mm and 12 x 12mm located within
the confinement of SV1. They emit hypointense signals on T1WIs turning to bright
signals on T2/STIR sequences. Less conspicuous similar morphological osseous nodules
located at the vertebral bodies of DV12, LV1, LV2 as well as right iliac bone…For
clinico-radiological correlation and further workup to verify their nature and to rule out
condition such as multiple myeloma or neoplastic process.
 Incidentally, the left pelvicalyceal system as well as the left ureter are dilated. In
addition, heterogeneous signals of the uterine endometrium is seen.
Radiologist Radiologist
Dr. Hazem Hassan, MD Dr. Magdi Anwar, MD
NOTE: Images can be viewed online; kindly access the below link and use the provided username and
password:-
http://edc.hopto.me:33333/MILLENSYS/workspace/patientportal
UserName: 88846
Password: 1e661d1013
* THIS REPORT IS GENERATED ELECTRONICALLY AND NEEDS NO SIGNATURE.

Al Wasl Road, Al Safa 2, Al Manara junction, Um Suquaim, Villa 875, POBox 15591, Dubai, UAE, Tel.: (04) 395-22 31, Fax: (04) 395-22 38
E-mail: [email protected] Page 2 of 2

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Patient's name: NINA CARPENCO

D.O.B: 11 October 1963 MOBILE NO: 056-5779592

Date: 28 February 2023 RN: 80733

MRI examination of the Lumbar Spine

 Low back pain.

Technique of the Examination:-

 Sagittal T1, STIR & T2 WIs

 Spondylodegenerative changes are encountered over the lumbar spine manifested as

vertebral endplates changes, marginal spur formations, anterior osteophytic discal

of discal dehydration as well as facet osteoarthropathy expressed as sclerosed articular

of the conus medullaris.

aspect of the thecal sac. No nerve impingement is noted.

pathway and impinging the left SV1 exiting nerve root.

 No signs of canal stenosis.

 No intra-dural soft tissue masses or collection detected.

D.O.B: 11 October 1963 MOBILE NO: 056-5779592

Date: 28 February 2023 RN: 80733

subcutaneous edematous changes are seen.

* THIS REPORT IS GENERATED ELECTRONICALLY AND NEEDS NO SIGNATURE.

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