Scan No. : 00005 Date : 00.00.00
Name of the Patient : Abc Xyzr Huslmn / M / 50 yrs.
Referred by : Dr. Abc Xyzddiqui.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O catch 16 days back with weakness of the LLE, pain and 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.
PATIENT DID NOT ALLOW COMPLETION OF STUDY AS PATIENT WAS IN SEVERE PAIN. SOME IMAGES SHOW PATIENT MOTION. PATIENT REFUSED SEDATION.
There is loss of normal lumbar lordosis and loss of water content of all the lumbar intervertebral discs except the L5-S1 disc.
There is mild replacement of L3 over L4 vertebral bodies.
A fairly large, posteriorly herniated disc with peridiscal osteophytes is noted at the L3-L4 level with thecal sac compression and canal stenosis.
Small posterior disc herniations with peridiscal osteophytes are noted at the L4-L5 and L2-L3 levels.
Small posterior peridiscal osteophyte is noted at the L1-L2 level.
Facetal hypertrophy is noted in the lumbar region.
The pedicles of the lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
The lumbar vertebral bodies reveal normal signal intensity. 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 :
10.0 mm at L1-L2
9.0 mm at L2-L3
9.0 mm at L3-L4
10.0 mm at L4-L5
14.0 mm at L5-S1.
1. A fairly large, posteriorly herniated disc with peridiscal osteophytes at the L3-L4 level.
2. Small posterior disc herniations with peridiscal osteophytes at the L4-L5 and L2-L3 levels.
3. Facetal hypertrophy in the lumbar region.
4. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.
5. Lumbar canal stenosis at the L2-L3, L3-L4 and L4-L5 levels.