Date : 00.00.00
Name of the Patient : Abc Xyzhedlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 6 months.
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 slight forward translation of the L3 over the L4 vertebra, loss of normal lumbar lordosis and loss of water content of the lower lumbar intervertebral discs.
A small posterior disc bulge is noted at the L5-S1 level.
Slight facetal hypertrophy is also seen at this level.
Posteriorly bulging discs with posterior peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels with bilateral neural foraminal narrowing. There is also facetal hypertrophy at these levels bilaterally with canal stenosis.
Slight facetal hypertrophy is also noted at the L1-L2 and L2-L3 levels.
The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
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 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 :
14.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.
1. A small posterior disc bulge at the L5-S1 level with slight facetal hypertrophy.
2. Posteriorly bulging discs with posterior peridiscal osteophytes at the L3-L4 and L4-L5 levels with facetal hypertrophy bilaterally and canal stenosis.
3. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.