Date : 00.00.00
Name of the Patient : Abc Xyz A. Mithailmn / F / 33 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 5 years.
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 the L1 vertebral body is as marked on the film. Please correlate with plain radiographs.
There is loss of water content of the L4-L5 intervertebral disc.
There is a small, postero-central disc herniation at the L4-L5 level, indenting the dural theca anteriorly. Slight facetal hypertrophy is noted at this level.
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 D12-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
15.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
7.0 mm at L5-S1.
Screening, T1 Weighted sagittal images of the dorsal spine and T1 Weighted coronal images of the sacro-iliac and hip joints do not reveal any significant feature of note.
1. Sacralized L5 vertebra. Please correlate with plain radiographs.
2. Degenerated L4-L5 disc with a small, postero-central disc herniation at that level.