Date : 00.00.00
Name of the Patient : Abc Xyzati Klmn / F / 37 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 2-3 years radiating to BLE (left more than right) with paresthesias in the RLE since 1 month.
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.
SOME IMAGES SHOW PATIENT MOTION.
There is loss of water content of nearly all the lumbar intervertebral discs except the L2-L3 disc.
Posteriorly herniated discs are noted at the L4-L5 and L5-S1 levels with thecal sac compression and slight bilateral neural foraminal narrowing.
Facetal hypertrophy is noted at the L4-L5 and L5-S1 levels. Ligamentum flavum hypertrophy is noted at the L5-S1 level with resultant canal stenosis over the L4-L5 and L5-S1 levels.
A small, postero-central disc herniation is noted at the L3-L4 level.
The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
Anterior disc herniation is seen at the L1-L2 level.
The lumbar vertebral bodies reveal 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 L1-L2 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 :
18.0 mm at L1-L2
17.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
8.0 mm at L5-S1.
1. Posteriorly herniated discs at the L4-L5 and L5-S1 levels with slight bilateral neural foraminal narrowing.
2. Facetal hypertrophy at the L4-L5 and L5-S1 levels and ligamentum flavum hypertrophy at the L5-S1 level with canal stenosis at the L4-L5 and L5-S1 levels.
3. A small, postero-central disc herniation at the L3-L4 level.
4. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.