Date : 00.00.00
Name of the Patient : Abc XyzDlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 10 years.
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 wedging of the lumbar vertebral bodies.
Diffuse fatty changes are noted in the lumbar vertebrae. Ill-defined hypointense areas on the T1 Weighted images are seen in the D12, L4 and L5 vertebral bodies replacing the normal marrow. These are seen to turn heterogeneously hyperintense on the T2 Weighted images.
Diffuse posterior disc bulges are noted at the L3-L4 and L4-L5 levels with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. Posterior peridiscal osteophytes are noted at the L3-L4 level.
A small posterior disc bulge is seen at the L2-L3 level. The mid lumbar intervertebral discs show loss of water content.
The lumbar facet joints appear hypertrophied.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 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
14.0 mm at L2-L3
13.0 mm at L3-L4
13.0 mm at L4-L5
15.0 mm at L5-S1.
The dorsal spine was screened with 4 mm thick T1 Weighted sagittal images which shows slight wedging of the D1 and D8 vertebral bodies.
The MRI features are suggestive of :
1. Osteoporotic changes in the lumbar vertebrae with bone bruise/edema in the D12, L4 and L5 vertebrae.
2. Diffuse posterior disc bulges at the L3-L4 and L4-L5 levels.
3. A small posterior disc bulge at the L2-L3 level.