Date : 00.00.00
Name of the Patient : Abc Xyz Naylmn / M / 31 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) with paresthesias since 10-12 years which is increased since 1 month.
H/O fall from a height 10-12 years back.
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 the L2-L3 and L3-L4 intervertebral discs.
Minimal posterior disc bulges are noted at the L3-L4 and L4-L5 levels. The L4-L5 facet joints show mild degenerative changes.
Type II degenerative marrow changes are seen adjacent to the L2-L3 intervertebral disc.
Schmorls nodes are noted in the dorso-lumbar region.
The rest of 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 :
19.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
15.0 mm at L5-S1.
No significant abnormality is detected on this study.