Date : 00.00.00
Name of the Patient : Abc XyzBandalmn / M / 44 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) with paresthesias.
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.
There is loss of water content of the L3-L4 and L5-S1 intervertebral discs.
There are fairly large, posteriorly herniated discs at the L2-L3 and L5-S1 levels with thecal sac compression and canal stenosis. Inferior migration of the disc is seen at the L2-L3 level posterior to the L3 vertebra. Small posterior peridiscal osteophytes are also seen at the L2-L3 level.
A small posterior disc bulge is noted at the L4-L5 level with bilateral neural foraminal narrowing.
Facetal hypertrophy is noted in the lumbar region.
The pedicles of the lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S2 level.
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The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
12.0 mm at L1-L2
8.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
7.0 mm at L5-S1.
1. Fairly large, posteriorly herniated discs at the L2-L3 and L5-S1 levels with canal stenosis.
2. A small posterior disc bulge at the L4-L5 level.
3. Facetal hypertrophy in the lumbar region.
4. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.