Date : 00.00.00
Name of the Patient : Abc XyzBaulmn / M / 45 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 6 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 loss of normal lumbar lordosis and loss of water content of the L5-S1 intervertebral disc. There appears to be sacralization of the L5 vertebra which is as marked on the film.
There is a small postero-central disc herniation with peridiscal osteophytes at the L5-S1 level, minimally indenting the dural theca anteriorly. The L5 and S1 vertebral bodies adjacent of the L5-S1 intervertebral disc appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. Inferior cortical endplate of L5 is slightly ill-defined, anteriorly.
A small posterior disc bulge is noted at the L4-L5 level.
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 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 :
14.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.
1. Degenerated L5-S1 intervertebral disc with a small postero-central disc herniation with peridiscal osteophytes at that level.
2. Altered signal in the L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc represents Type I degenerative marrow changes. The possibility of this marrow signal representing osteitis seems less likely.