Date : 00.00.00
Name of the Patient : Abc XyzNalmn / F / 58 yrs.
Referred by : Dr. Abc Xyzheikh / Dr. Abc Xyzvade.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 2 years.
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 sacralization of the L5 vertebra which is as marked on the film.
There is slight loss of water content of the lumbar intervertebral discs.
Posterior and bilateral far lateral disc bulges are noted at the L3-L4 and L4-L5 levels with slight bilateral neural foraminal narrowing.
There is facetal and ligamentum flavum hypertrophy at the L4-L5 and L5 levels, with a tight canal at these levels.
There is slight central wedging of the D12 vertebral body without change in signal intensity.
The lumbar vertebral bodies show spotty fatty marrow changes. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.
1. Sacralized L5 vertebra.
2. Posterior and bilateral far lateral disc bulges at the L3-L4 and L4-L5 levels with slight bilateral neural foraminal narrowing.
3. Slight facetal and ligamentum flavum hypertrophy at the L4-L5 and L5 levels, with a tight canal at these levels.