Date : 00.00.00
Name of the Patient : Abc Xyzha Lokhlmn / F / 15 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O no control over bladder since childhood, nocturnal aneuresis with backache since few days.
To rule out spinal dysraphism.
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.
Posterior disc bulges with small peridiscal osteophytes are seen to indent the thecal sac at the D12-L1, L3-L4 and L4-L5 levels. These intervertebral discs show loss of water content.
The D12-L1 intervertebral disc is decreased in height.
Facetal hypertrophy is noted at the L4-L5 level.
Fat is noted within the filum terminale at the L1 and L2 vertebral levels.
An extrarenal pelvis is noted on the left side.
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.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1 level.
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The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
17.0 mm at L4-L5
11.0 mm at L5-S1.
The MRI features are suggestive of posterior disc bulges with small peridiscal osteophytes at the D12-L1, L3-L4 and L4-L5 levels.