hs/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyza Klmn / F / 50 yrs.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in the LLE since 2-4 years.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is probable sacralization of the L5 vertebra and it is as marked on the film.
Postero-central disc herniations, more to the right of the midline with small peridiscal osteophytes are seen to indent the thecal sac at the L3-L4, L4-L5 and L5-S1 levels.
A left paracentral disc protrusion is seen to indent the thecal sac at the L2-L3 level.
The pedicles of the lumbar vertebrae are congenitally short in their antero-posterior dimensions. Facetal hypertrophy is seen at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
The lumbar intervertebral discs show loss of water content.
The lumbar vertebral bodies show areas of fatty replacement of normal marrow/type II degenerative changes.
The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1-S2 level.
..2/.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
13.0 mm at L2-L3
12.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Postero-central disc herniations, more to the right of the midline with small peridiscal osteophytes at the L3-L4, L4-L5 and L5-S1 levels.
2. A left paracentral disc protrusion at the L2-L3 level.
3. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
4. Facetal hypertrophy at the L2-L3, L3-L4, L4-L5 and L5-S1 levels.
5. A tight canal at the L3-L4 and L4-L5 levels.
6. Probable sacralization of the L5 vertebra. Please correlate with plain radiographs.