Clinical question: Evaluate for pathology for right lower extremity numbness and tingling. Signs and symptoms: RLE numbness and tingling. Nonenhanced lumbar MRI:There is normal anatomical alignment of the vertebral column.The marrow signal intensity of the vertebral column is uniformly abnormal with low T1 and low T2 and most likely secondary to long standing chronic kidney disease. No significant degenerative disease of the lumbar spine is identified.Lower most visualized thoracic spine and thoracic cord is unremarkable.T12 -- L1 is unremarkable.L1 -- L2 is unremarkable.L2 -- L3 is unremarkable.L3 -- L4 demonstrate minimal ligamentum flavum hypertrophy and unremarkable otherwise.L4 -- L5 demonstrate mild bilateral symmetrical ligamentum flavum hypertrophy. There is a tiny right paramedian annular fissure at this level which is best appreciated on axial T2 series 7 image 27 and unremarkable exam at this level otherwise.L5 -- S1 is unremarkable.The paraspinal musculature remains within normal size and signal intensity. Incidental note is made symmetrical bilaterally small kidneys which was also noted on prior CT of abdomen from 12 -- 14 -- 13.
1.Tiny central and rightward annular fissure at L4 -- L5.2.Unremarkable exam otherwise and without spinal stenosis or neural foraminal compromise at any level.3.Incidental note is made of bilaterally symmetrical small kidneys.4.Uniformly abnormal marrow signal of vertebral column secondary to long standing chronic kidney disease.