Date : 00.00.00
Name of the Patient : Abc Xyzvi Sulmn / F / 50 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE.
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 lumbar intervertebral discs.
A small posterior disc bulge with peridiscal osteophytes is noted at the L4-L5 level.
Small posterior disc bulges are noted at the L2-L3 and L5-S1 levels.
There is slight facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.
A hemangioma with fat content (hyperintense on all the pulse sequences) is noted within the L2 vertebral body. Focal fatty marrow changes is noted adjacent to the lower lumbar intervertebral discs.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining 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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
19.0 mm at L2-L3
20.0 mm at L3-L4
15.0 mm at L4-L5
14.0 mm at L5-S1.
1. A small posterior disc bulge with peridiscal osteophytes at the L4-L5 level.
2. Slight facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.