Date : 00.00.00
Name of the Patient : Abc Xyzhanlmn / F / 26 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 15-20 days.
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 it is as marked on the film.
There is mild retroplacement of the L4 vertebra over the L5 vertebra. The L3-L4 and L4-L5 intervertebral discs show loss of water content.
Small postero-central disc herniations are seen to indent the thecal sac at the L3-L4 and L4-L5 levels.
The L4-L5 facet joints show hypertrophic degenerative changes. Ligamentum flavum hypertrophy is seen at the L4-L5 and L5 levels.
- 2 - Scan-00007
The L1-L2, L2-L3 and L3-L4 facet joints show degenerative changes.
Fat is noted within the filum terminale over the L2 to L4 vertebral levels.
The lumbar vertebral bodies and the rest of the intervertebral discs reveal normal signal intensity. 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 :
12.0 mm at L1-L2
11.0 mm at L2-L3
10.0 mm at L3-L4
8.0 mm at L4-L5
8.0 mm at L5-S1.
1. Probable sacralization of the L5 vertebra.
2. Small postero-central disc herniations at the L3-L4 and L4-L5 levels.
3. Hypertrophic facetal arthropathy at the L4-L5 level with ligamentum flavum hypertrophy at the L4-L5 and L5 levels with tight canal at the L4-L5 level.