Date : 00.00.00
Name of the Patient : Abc Xyza Plmn / F / 34 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with 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.
There is reduction in height and loss of water content of the L2-L3, L3-L4 and L4-L5 intervertebral discs. The L5-S1 intervertebral disc appears hyperintense on the T2 Weighted images. Type II degenerative marrow changes are noted adjacent to the L5-S1 disc.
Posterior peridiscal osteophytes are noted at the L5-S1 level.
A fairly large postero-central disc herniation with peridiscal osteophytes is noted at the L4-L5 level with thecal sac compression and indentation on the L5 nerve roots bilaterally.
A right postero-lateral (foraminal) disc bulge is noted at the L3-L4 level.
Posterior peridiscal osteophyte are seen at the L2-L3 level.
Hypertrophic facetal arthropathy is noted at the L5-S1 level and slight facetal hypertrophy is noted at the L4-L5 level.
The rest of the lumbar vertebral bodies 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 S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
11.0 mm at L4-L5
13.0 mm at L5-S1.
1. A fairly large postero-central disc herniation with peridiscal osteophytes at the L4-L5 level.
2. A right postero-lateral (foraminal) disc bulge at the L3-L4 level.
3. Hypertrophic facetal arthropathy at the L5-S1 level and slight facetal hypertrophy at the L4-L5 level.