MR lumbar spine axial - labeling questions

Case contributed by Craig Hacking
Diagnosis not applicable

MR L spine (with labels)

Annotated image

The labeled structures are (excluding the correct side):

  1. left common iliac artery

  2. posterior epidural space containing fat

  3. inferior vena cava

  4. L2/3 facet joint

  5. right common iliac artery

  6. pedicle of L3

  7. segmental medullary vessels

  8. cauda equina

  9. right descending L4 nerve root

  10. dural sac

  11. posterior longitudinal ligament

  12. subcutaneous fat

  13. anterior longitudinal ligament

  14. ligamentum falvum

  15. psoas major muscle

  16. spinous process of L3

  17. transverse process of L4

  18. vertebral body of L4

  19. right descending L5 nerve root

  20. quadratus lumborum muscle

  21. left exiting L4 nerve root

  22. lamina of L4

  23. annulus fibrosus of L4/5 intervertebral disc

  24. nucleus pulposis of L4/5 intervertebral disc

  25. lumbar cistern containing CSF

  26. anterior epidural space containing fat

  27. erector spinae muscles

  28. dorsal root ganglion of left exiting L5 nerve root

  29. iliolumbar ligament

  30. iliac crest

  31. interspinous ligament

  32. vertebral body of L5

  33. right exiting L5 nerve root

  34. L5/S1 intervertebral (neural) foramen containg fat

  35. epidural space containing fat

  36. thoracolumbar fascia

  37. extraforminal sesgment of right L5 nerve root

  38. sacral ala

  39. posterior sacroiliac ligament

  40. dorsal root ganglion of left S1 nerve root

  41. right S2 nerve root

  42. sacral promontory

  43. sacroiliac joint

  44. iliacus muscle

  45. left internal iliac vein

  46. right external iliac artery

  47. left internal iliac artery

  48. right S2 nerve root

  49. left second sacral foramen containing fat

MR L spine (without labels)

mri

The same normal L spine MR without labels for reference.

Case Discussion

The labeled structures are (excluding the correct side):

  1. left common iliac artery

  2. posterior epidural space containing fat

  3. inferior vena cava

  4. L2/3 facet joint

  5. right common iliac artery

  6. pedicle of L3

  7. segmental medullary vessels

  8. cauda equina

  9. right descending L4 nerve root

  10. dural sac

  11. posterior longitudinal ligament

  12. subcutaneous fat

  13. anterior longitudinal ligament

  14. ligamentum falvum

  15. psoas major muscle

  16. spinous process of L3

  17. transverse process of L4

  18. vertebral body of L4

  19. right descending L5 nerve root

  20. quadratus lumborum muscle

  21. left exiting L4 nerve root

  22. lamina of L4

  23. annulus fibrosus of L4/5 intervertebral disc

  24. nucleus pulposis of L4/5 intervertebral disc

  25. lumbar cistern containing CSF

  26. anterior epidural space containing fat

  27. erector spinae muscles

  28. dorsal root ganglion of left exiting L5 nerve root

  29. iliolumbar ligament

  30. iliac crest

  31. interspinous ligament

  32. vertebral body of L5

  33. right exiting L5 nerve root

  34. L5/S1 intervertebral (neural) foramen containg fat

  35. epidural space containing fat

  36. thoracolumbar fascia

  37. extraforminal sesgment of right L5 nerve root

  38. sacral ala

  39. posterior sacroiliac ligament

  40. dorsal root ganglion of left S1 nerve root

  41. right S2 nerve root

  42. sacral promontory

  43. sacroiliac joint

  44. iliacus muscle

  45. left internal iliac vein

  46. right external iliac artery

  47. left internal iliac artery

  48. right S2 nerve root

  49. left second sacral foramen containing fat

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