Date : 00.00.00
Name of the Patient : Abc Xyzaben N. Patralmn / F / 65 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Dorso-lumbo-sacral Spine.
CLINICAL PROFILE :
Alleged H/O fall on 00.00.00.
M.R.I of the dorso-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.
The visualized dorso-lumbar intervertebral discs show loss of water content.
There appears to be sacralization of the L5 vertebra and it is as marked on the film. Please correlate with plain radiographs.
Postero-central disc herniations with peridiscal osteophytes are seen to indent the thecal sac at the D10-D11 and D11-D12 levels.
A small postero-central disc herniation is seen to indent the thecal sac at the L4-L5 level. Note is made of a posterior disc bulge at the L3-L4 level.
The L3-L4 and L4-L5 facet joints show hypertrophic degenerative changes.
A Schmorls node is noted at the inferior aspect of the D11 vertebral body.
The rest of the visualized dorso-lumbo-sacral vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorso-lumbar spinal cord reveals normal signal intensity.
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The conus medullaris terminates at the D12-L1 level and thecal sac terminates at S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
11.0 mm at D10-D11
13.0 mm at D11-D12
18.0 mm at D12-L1
16.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra.
2. Postero-central disc herniations with peridiscal osteophytes at the D10-D11 and D11-D12 levels.
3. A small postero-central disc herniation at the L4-L5 level.
4. Hypertrophic facetal arthropathy at the L3-L4 and L4-L5 levels.