MR Lumbosacral Plexus

 

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Report
Procedure
MR
Lumbosacral plexus
Technique [ ______ ]
Field strength [{decimal} T]
Contrast media
None [ ______ ]
Name [ ______ ]
Amount [{decimal} ml]
[ ______ ]
[ ______ ]
Clinical information
[ ______ ]
Comparison
None [ ______ ]
[ ______ ]
Findings
Nerves
Normal [ ______ ]
Lumbosacral plexus
Normal [ ______ ]
Size
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Signal
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Course
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Perineural fat
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Enhancement
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
[ ______ ]
Sciatic nerve
Normal [ ______ ]
Size
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Signal
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Course
Normal [ ______ ]
Variant intramuscular course [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Fascicular pattern
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Perineural fat
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Enhancement
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
[ ______ ]
Femoral nerve
Normal [ ______ ]
Size
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Signal
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Course
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Perineural fat
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Enhancement
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
[ ______ ]
Lateral femoral cutaneous nerve
Normal [ ______ ]
Size
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Signal
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Course
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Perineural fat
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Enhancement
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
[ ______ ]
Pudendal nerve
Normal [ ______ ]
Size
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Signal
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Course
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Perineural fat
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Enhancement
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
[ ______ ]
[ ______ ]
Muscles
Normal [ ______ ]
Psoas major
Normal [ ______ ]
Atrophy
None [ ______ ]
Mild [ ______ ]
Moderate [ ______ ]
Severe [ ______ ]
[ ______ ]
Intramuscular signal
Normal [ ______ ]
Edema [ ______ ]
Hemorrhage [ ______ ]
Fatty infiltration [ ______ ]
[ ______ ]
[ ______ ]
Piriformis
Normal [ ______ ]
Atrophy
None [ ______ ]
Mild [ ______ ]
Moderate [ ______ ]
Severe [ ______ ]
[ ______ ]
Intramuscular signal
Normal [ ______ ]
Edema [ ______ ]
Hemorrhage [ ______ ]
Fatty infiltration [ ______ ]
[ ______ ]
[ ______ ]
Gluteal
Normal [ ______ ]
Atrophy
None [ ______ ]
Mild [ ______ ]
Moderate [ ______ ]
Severe [ ______ ]
[ ______ ]
Intramuscular signal
Normal [ ______ ]
Edema [ ______ ]
Hemorrhage [ ______ ]
Fatty infiltration [ ______ ]
[ ______ ]
[ ______ ]
Hamstring tendon
Normal [ ______ ]
Tendonosis
None [ ______ ]
Mild [ ______ ]
Moderate [ ______ ]
Severe [ ______ ]
[ ______ ]
[ ______ ]
Bones
Normal [ ______ ]
Greater sciatic notch
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Marrow signal
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
[ ______ ]
Joints
Normal [ ______ ]
Lumbosacral spine
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Sacroiliac joints
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Pubic symphysis
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
Hip joints
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
[ ______ ]
Blood vessels
Normal [ ______ ]
Abnormal [ ______ ]
[ ______ ]
[ ______ ]
Impression
[ ______ ]