Date : 00.00.00
Name of the Patient : Abc Xyzbdul Salmn / M / 41 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 3 months which has increased 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 is sacralization of the L5 vertebra and the L3 vertebral body is as marked on the film.
Minimal posterior disc bulges are noted at the L3-L4 and L4-L5 levels. Slight facetal hypertrophy is also noted at these levels.
There is loss of water content of the upper lumbar intervertebral discs.
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 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
14.0 mm at L2-L3
14.0 mm at L3-L4
14.0 mm at L4-L5
8.0 mm at L5-S1.
The left psoas muscle appears slightly decreased in bulk when compared to the right.
1. Sacralization of the L5 vertebra.
2. Minimal posterior disc bulges at the L3-L4 and L4-L5 levels with slight facetal hypertrophy.