MedMantra.com MedMantra.com Healthcare Access for Masses Microjobs Online Consultation Telemedicine Medical Market Medical Education MCQs Question Bank https://www.medmantra.com/itemlist/tag/flavum 2024-05-19T16:32:24+00:00 11472 2015-12-27T16:48:00+00:00 2015-12-27T16:48:00+00:00 https://www.medmantra.com/item/246-11472 Regular User finance@medmantra.com <div class="K2FeedIntroText">hs/bv<br /> Date : 00.00.00<br /><br /> Name of the Patient : Abc XyzBolmn / M / 36 yrs. <br /> Referred by : Dr. Abc Xyz&gt; Examination : M.R.I. of the Lumbo-sacral Spine.<br /><br /> CLINICAL PROFILE : <br /><br /> C/O backache radiating to the upper spine and BLE (on &amp; off) with tingling in BLE since 4 years. <br /><br /> EXAMINATION :<br /><br /> M.R.I of the lumbo-sacral spine was performed using the following parameters :<br /><br /> 5 mm thick T1 Weighted and T2 Weighted sagittal images.<br /><br /> 5 mm thick T1 Weighted and T2 Weighted axial images.<br /><br /> IMAGES SHOW PATIENT MOTION. <br /><br /> OBSERVATION :<br /><br /> There appears to be sacralization of the L5 vertebra and the L1 vertebra is as marked on the film.<br /><br /> A postero-central disc extrusion, more to the right of the midline is seen to indent the thecal sac at the L4-L5 level. There is mild facetal and ligamentum flavum hypertrophy at this level. Also seen is a left postero-lateral (foraminal) disc protrusion at this level.<br /><br /> A posterior disc bulge is noted at the L2-L3 level.<br /><br /> The L2-L3, L3-L4 and L4-L5 intervertebral discs show loss of water content. Anterior disc herniations are noted at these levels.<br /><br /> The lumbar vertebral bodies and the remaining intervertebral discs show normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.<br /><br /><br /><br /> - 2 - <br /><br /><br /> The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1 level.<br /><br /> The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :<br /><br /> 19.0 mm at L1-L2<br /><br /> 18.0 mm at L2-L3<br /><br /> 15.0 mm at L3-L4<br /><br /> 8.0 mm at L4-L5<br /><br /> 9.0 mm at L5-S1.<br /><br /> The cervico-dorsal spine was screened with 4 mm T2 Weighted sagittal images and does not reveal any significant feature of note. <br /><br /> IMPRESSION :<br /><br /> The MRI features are suggestive of :<br /><br /> 1. Sacralization of the L5 vertebra.<br /><br /> 2. A postero-central disc extrusion, more to the right of the midline with mild facetal and ligamentum flavum hypertrophy at L4-L5 level with canal stenosis at this level. <br /><br /><br /><br /><br /></div> <div class="K2FeedIntroText">hs/bv<br /> Date : 00.00.00<br /><br /> Name of the Patient : Abc XyzBolmn / M / 36 yrs. <br /> Referred by : Dr. Abc Xyz&gt; Examination : M.R.I. of the Lumbo-sacral Spine.<br /><br /> CLINICAL PROFILE : <br /><br /> C/O backache radiating to the upper spine and BLE (on &amp; off) with tingling in BLE since 4 years. <br /><br /> EXAMINATION :<br /><br /> M.R.I of the lumbo-sacral spine was performed using the following parameters :<br /><br /> 5 mm thick T1 Weighted and T2 Weighted sagittal images.<br /><br /> 5 mm thick T1 Weighted and T2 Weighted axial images.<br /><br /> IMAGES SHOW PATIENT MOTION. <br /><br /> OBSERVATION :<br /><br /> There appears to be sacralization of the L5 vertebra and the L1 vertebra is as marked on the film.<br /><br /> A postero-central disc extrusion, more to the right of the midline is seen to indent the thecal sac at the L4-L5 level. There is mild facetal and ligamentum flavum hypertrophy at this level. Also seen is a left postero-lateral (foraminal) disc protrusion at this level.<br /><br /> A posterior disc bulge is noted at the L2-L3 level.<br /><br /> The L2-L3, L3-L4 and L4-L5 intervertebral discs show loss of water content. Anterior disc herniations are noted at these levels.<br /><br /> The lumbar vertebral bodies and the remaining intervertebral discs show normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.<br /><br /><br /><br /> - 2 - <br /><br /><br /> The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1 level.<br /><br /> The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :<br /><br /> 19.0 mm at L1-L2<br /><br /> 18.0 mm at L2-L3<br /><br /> 15.0 mm at L3-L4<br /><br /> 8.0 mm at L4-L5<br /><br /> 9.0 mm at L5-S1.<br /><br /> The cervico-dorsal spine was screened with 4 mm T2 Weighted sagittal images and does not reveal any significant feature of note. <br /><br /> IMPRESSION :<br /><br /> The MRI features are suggestive of :<br /><br /> 1. Sacralization of the L5 vertebra.<br /><br /> 2. A postero-central disc extrusion, more to the right of the midline with mild facetal and ligamentum flavum hypertrophy at L4-L5 level with canal stenosis at this level. <br /><br /><br /><br /><br /></div>