Date : 00.00.00
Name of the Patient : Abc XyzBagdalmn / M / 19 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 1 1/2 months.
Alleged H/O vehicular accident 2 months back.
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 appears to be sacralization of the L5 vertebra and it is as marked on the film.
A mild posterior disc bulge with peridiscal osteophyte is seen to indent the thecal sac at the L4-L5 level. Also seen is mild facetal and ligamentum flavum hypertrophy at this level. The L4-L5 intervertebral disc shows loss of water content.
The lumbar vertebral bodies and the remaining intervertebral discs 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 level and the thecal sac terminates at the S1 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
18.0 mm at L2-L3
- 2 - scan-00007
18.0 mm at L3-L4
18.0 mm at L4-L5
10.0 mm at L5-S1.
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra.
2. A mild posterior disc bulge with peridiscal osteophyte at the L4-L5 level with mild facetal and ligamentum flavum hypertrophy at this level.