Date : 00.00.00
Name of the Patient : Abc XyzGaolmn / M / 42 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 1 week.
H/O backache radiating to the LLE in August 0000.
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 L4-L5 and L5-S1 intervertebral discs.
Small posterior disc herniations with peridiscal osteophytes are noted at the L3-L4, L4-L5 and L5-S1 levels with bilateral neural foraminal narrowing at the L3-L4 and L4-L5 levels. There is also slight facetal hypertrophy at these levels.
Small posterior peridiscal osteophytes with posterior disc bulges are seen at the D12-L1, L1-L2 and L2-L3 levels.
The pedicles of the lumbar vertebrae appear to be congenitally short in their antero-posterior dimensions.
Anterior disc herniations with anterior peridiscal osteophytes are also noted in the lumbar region.
Schmorls nodes are noted in the visualized dorsal and lumbar vertebrae.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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 :
14.0 mm at L1-L2
12.0 mm at L2-L3
12.0 mm at L3-L4
11.0 mm at L4-L5
9.0 mm at L5-S1.
1. Small posterior disc herniations with peridiscal osteophytes at the L3-L4, L4-L5 and L5-S1 levels with slight facetal hypertrophy at these levels.
2. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions with lumbar canal stenosis at the L3-L4 and L4-L5 levels.