Date : 00.00.00
Name of the Patient : Abc Xyzn A. Banlmn / F / 34 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with tingling in BLE and bladder/bowel involvement.
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 intervertebral disc and loss of normal lumbar lordosis.
There is sacralization of the L5 vertebra.
There is a fairly large, posteriorly extruded disc with peridiscal osteophyte at the L4-L5 level with thecal sac compression and canal stenosis. Slight inferior migration of the disc fragment is noted.
There is a small posterior disc bulge at the L3-L4 level.
Note is made of a distended bladder.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-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 :
18.0 mm at L1-L2
19.0 mm at L2-L3
15.0 mm at L3-L4
8.0 mm at L4-L5
10.0 mm at L5-S1.
1. Sacralization of the L5 vertebra.
2. A fairly large, posteriorly extruded disc with peridiscal osteophyte at the L4-L5 level with canal stenosis.