Date : 00.00.00
Name of the Patient : Abc Xyz. Plmn / M / 66 yrs.
Referred by : Dr. Abc Xyzcha.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain in the RLE since 3 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 water content of nearly all the lumbar intervertebral discs except the L5-S1 disc.
Small posterior disc bulges are noted at the L2-L3, L3-L4 and L4-L5 levels. Far lateral disc bulges are noted at the L2-L3 and L4-L5 levels.
Facetal hypertrophy is seen at the L3-L4, L4-L5 and L5-S1 levels.
The visualized dorso-lumbo-sacral vertebral bodies show spotty fatty marrow changes suggesting osteoporosis.
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 :
16.0 mm at L1-L2
15.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
1. Small posterior disc bulges at the L2-L3, L3-L4 and L4-L5 levels.
2. Facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.
3. Spotty fatty changes in the visualized dorso-lumbo-sacral vertebral bodies suggests osteoporotic changes.