MedMantra.comMedMantra.com Healthcare Access for Masses Microjobs Online Consultation Telemedicine Medical Market Medical Education MCQs Question Bankhttps://www.medmantra.com/itemlist/tag/flavum2024-05-19T16:32:24+00:00114722015-12-27T16:48:00+00:002015-12-27T16:48:00+00:00https://www.medmantra.com/item/246-11472Regular Userfinance@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>
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 & 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>
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 & 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>