Diagnosis: Radiculopathy, lumbar regionClinical question: assess for polyradiculopathySigns and Symptoms: H/O inflammatory polyradiculopathy, recent onset of incontinence Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact. There is redemonstration of mild thickening of the nerve roots of the cauda equina associated with some subtle contrast enhancement.At L5-S1 there is no significant compromise to spinal canal or neural foramina.At L4-5 there is no significant compromise to spinal canal or neural foramina.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There is redemonstration of some mild thickening of the nerve roots of the cauda equina. This is nonspecific, however, it could be seen with hereditary motor sensory neuropathy, Guillain-Barre syndrome, other infections and a moderate knee and processes as well as other entities such as sarcoidosis and arachnoiditis. It was also present on the prior exam and does not appear to have changed significantly.