Date : 00.00.00
Name of the Patient : Abc XyzR. Milmn / F / 61 yrs.
Referred by : Dr. Abc Xyznshah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left).
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, L4-L5 and L5-S1 intervertebral discs.
Minimal posterior disc bulges with posterior peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels.
A small posterior disc herniation more to the right of the midline is identified at the L5-S1 level.
Slight facetal hypertrophy is noted at the L3-L4 and L4-L5 levels with slight ligamentum flavum hypertrophy at the L5 vertebral level.
The lumbar vertebral bodies show spotty fatty marrow changes.
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 :
16.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
11.0 mm at L4-L5
13.0 mm at L5-S1.
1. A small posterior disc herniation more to the right of the midline at the L5-S1 level.
2. Minimal posterior disc bulges with posterior peridiscal osteophytes at the L3-L4 and L4-L5 levels.
3. Slight facetal hypertrophy at the L3-L4 and L4-L5 levels with slight ligamentum flavum hypertrophy at the L5 vertebral level.