Date : 00.00.00
Name of the Patient : Abc Xyz K. lmn / M / 29 yrs.
Referred by : Dr. Abc Xyzrmani / Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with burning sensation 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 appears to be partial sacralization of the L5 vertebra on the right side and it as marked on the film. Please correlate with plain radiographs.
There is a mild posterior disc bulge at the L4-L5 level. Slight facetal hypertrophy is noted at this level.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and is 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
13.0 mm at L5-S1.
The MRI features are suggestive of :
1. Partial sacralization of the L5 vertebra on the right side.
2. A mild posterior disc bulge at the L4-L5 level with slight facetal hypertrophy at that level.