Date : 00.00.00
Name of the Patient : Abc Xyza Sulmn / F / 25 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE with 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 a transepiphyseal herniation at the antero-superior aspect of the L4 vertebral body. The L3-L4 intervertebral disc shows loss of water content.
Hypointense signal on the T1 Weighted images which turns hyperintense on the T2 Weighted images is seen within the pedicle and articular pillar of the L4 vertebra on the right side.
The rest of the lumbar vertebrae 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 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
13.0 mm at L4-L5
11.0 mm at L5-S1.
1. Altered signal within the pedicle and articular pillar of the L4 vertebra on the right side as described. This is not specific for a single diagnosis (? inflammatory/infective or neoplastic).
2. A transepiphyseal herniation at the antero-superior aspect of the L4 vertebral body.