Date : 00.00.00
Name of the Patient : Abc Xyzn Ralmn / F / 42 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O neckpain and backache with radiation of pain to the RUE and BLE.
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.
The L4-L5 intervertebral disc shows loss of water content.
Small postero-central disc herniations are seen at the L4-L5 and L5-S1 levels with ventral indentation of the thecal sac at the L4-L5 level.
There is mild ligamentum flavum hypertrophy at the L4-L5 and L5 levels. Mild facetal hypertrophy is noted at the L4-L5, L3-L4 and L2-L3 levels with effusion in the right facet joint at the L4-L5 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 dorsal spine was screened with 5 mm thick T2 Weighted sagittal images and does not reveal any significant feature of note.
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 :
18.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
12.0 mm at L5-S1.
The MRI features are suggestive of :
1. Small postero-central disc herniations at the L4-L5 and L5-S1 levels.
2. Mild ligamentum flavum hypertrophy at the L4-L5 and L5 levels.
3. Facetal hypertrophy at the L4-L5, L3-L4 and L2-L3 levels with effusion in the right facet joint at the L4-L5 level.