Date : 00.00.00
Name of the Patient : Abc Xyza Belmn / F / 22 yrs.
Referred by : Dr. Abc Xyzodak / Dr. Abc Xyzkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 3 months with radiation of pain to the RLE and paresthesias.
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 sacralization of the L5 vertebra and the L4 vertebra is as marked on the film. Please correlate with plain radiographs.
There is loss of water content of the D12-L1 and L2-L3 intervertebral discs.
There is a transepiphyseal herniation of the L2-L3 disc through the antero-superior margin of the L3 vertebral body. The L3 vertebral body adjacent to the L2-L3 disc appears hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images.
Minimal posterior disc bulges are noted at the L2-L3 and L4-L5 levels.
The rest of 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 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 :
15.0 mm at L1-L2
15.0 mm at L2-L3
15.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.
1. Sacralized L5 vertebra.
2. Transepiphyseal herniation of the L2-L3 disc through the antero-superior margin of the L3 vertebral body.
3. Altered signal in the L3 vertebral body adjacent to the L2-L3 disc most likely represents Type I degenerative marrow change, rather than osteitis.