ABSTRACT
A 42 year male patient with complaints of dull abdominal pain and hematuria for 01 year was referred by Nephrologist for abdominal ultrasound [USG]
USG demonstrated echogenic kidneys, perinephric and renal sinus cystic fluid collections bilaterally with minimal ascites and mild right sided pleural effusion. The USG findings were confirmed by computed tomography [CT] and magnetic resonance imaging [MRI] scan and were characteristic of renal lymphangiectasia. Awareness regarding renal lymphangiectasia will result in early diagnosis and management and decreased morbidity
ABSTRACT
Objective: To determine the accuracy of straight leg raise [SLR] test in patients with lumbar disc herniation keeping magnetic resonance imaging [MRI] as a reference
Study Design: Validation study
Place and Duration of Study: Radiology department of Combined Military Hospital [CMH], Quetta, over a period of 16 months from 1st Dec 2012 to 31st May 2013
Material and Methods: Total 225 cases with lower back pain were included through non probability-consecutive sampling. Informed consent was taken. The patients were assessed for positive or negative SLR test. Then all patients underwent MRI of lumbosacral spine. Data was collected through a specially structured proforma. Data was analyzed by SPSS version 10
Results: SLR test was found to be positive in 114 [50.7%] cases while negative in 111 [49.3%] cases. Lumbar disc herniation on MRI was found to be positive in 122 [54.2%] cases while negative in 103 [45.8%] cases. Sensitivity, specificity, positive and negative predictive values of SLR test were found to be 82.8%, 87.4%, 88.6% and 81.1% respectively. Accuracy of SLR test was found to be 84.9%
Conclusion: We concluded that SLR test is accurate enough to diagnose disc herniation with reference to MRI. Now we can advise SLR test for assessment of disc herniation where MRI is not available or unaffordable for the patients