Date : 00.00.00
Name of the Patient : Abc Xyze lmn / F / 17 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to BLE (right more than left).
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 sacralization of the L5 vertebra and it is as marked on the film. Please correlate with plain radiographs.
Mild posterior disc bulges are seen at the L4-L5 and L5-S1 levels.
The left inferior articular facet of the L5 vertebra shows a hypointense signal on all the pulse sequences and this most likely represents sclerosis (as also seen on the plain radiographs).
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 conus medullaris terminates at the L1 level and the thecal sac terminates at the S1-S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
22.0 mm at L2-L3
22.0 mm at L3-L4
20.0 mm at L4-L5
17.0 mm at L5-S1.
The MRI features are suggestive of :
1. Probable sacralization of the L5 vertebra. Please correlate with plain radiographs.
2. Sclerosis of the left inferior articular facet of the L5 vertebra.
3. Mild posterior disc bulges at the L4-L5 and L5-S1 levels.