Presentation
Sciatic pain. History of minor trauma.
Patient Data
Age: 25 years
Gender: Male
From the case:
Schmorl nodes and limbus vertebrae
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Schmorl nodes are noted anteriorly at the superior endplates of L4 and S1.
Limbus vertebrae at the anterosuperior corners of L1 and L4
The L4 vertebral body is mildly increased in AP diameter.
Mild sclerosis of the superior aspect of the L5 spinous process.
From the case:
Schmorl nodes and limbus vertebrae
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The Schmorl's nodes at L4 and S1 are better appreciated than on plain film, and the limbus vertebrae at L1 and L4 are also still appreciated, with associated degenerative disc desiccation at those levels. The sclerosis of the L5 spinous correlates with an area of low/low signal on MR, which on subsequent imaging demonstrated progression to Baastrup syndrome two years later.