Date : 00.00.00
Name of the Patient : Abc Xyz Selmn / F / 43 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to BLE (left more than right) since 4 months.
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 a mild posterior disc bulge at the L5-S1 level. The L5-S1 facet joints show degenerative changes.
The L2-L3 intervertebral disc is decreased in height and shows loss of water content.
Schmorls nodes are seen at the antero-superior aspect of the L3 and L4 vertebral bodies.
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 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 :
17.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
16.0 mm at L4-L5
12.0 mm at L5-S1.
The MRI features are suggestive of :
1. A mild posterior disc bulge at the L5-S1 level.
2. Facetal arthropathy at the L5-S1 level.