Date : 00.00.00
Name of the Patient : Abc XyzDlmn / M / 31 yrs.
Referred by : Dr. Abc Xyznna / Dr. Abc Xyzsrani.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
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.
The L2 vertebral body appears to be as marked on the film. Please correlate with plain radiographs.
There is loss of water content of the L1-L2 and L4-L5 intervertebral discs.
A postero-central protruded disc with peridiscal osteophytes is noted at the L4-L5 level indenting the dural theca anteriorly.
Small posterior peridiscal osteophytes are noted at the L1-L2 and L3-L4 levels.
Slight facetal hypertrophy is noted at the L4-L5 and L5-S1 levels. Also seen is mild ligamentum flavum hypertrophy at these levels.
There is slight anterior wedging of the L1 vertebral body without change in its signal intensity.
Schmorls nodes are noted in the dorso-lumbar region.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
18.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
1. A postero-central protruded disc with peridiscal osteophytes at the L4-L5 level.
2. Slight facetal and ligamentum flavum hypertrophy at the L4-L5 and L5-S1 levels.
3. Slight anterior wedging of the L1 vertebral body without change in its signal intensity may be the sequelae of previous trauma.