Date : 00.00.00
Name of the Patient : Abc Xyzti Palmn / F / 65 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 1 year.
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 Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra. There is loss of water content of all the lumbar intervertebral discs with reduction in height of the L1-L2 and L2-L3 intervertebral discs.
A posterior disc bulge with peridiscal osteophytes is seen to narrow both neural foramina with impingement of the L5 nerve roots at the L5-S1 level, within the L5 neural foramina, (more on the left side).
Bilateral postero-lateral (foraminal) disc herniations are seen to narrow both neural foramina at the L3-L4 and L4-L5 levels. Slight retroplacement of the L3 over the L4 vertebra is also noted.
Posterior disc herniations with peridiscal osteophytes are seen to indent the thecal sac and narrow both neural foramina at the L1-L2 and L2-L3 levels.
There are left paracentral, left postero-lateral and left far lateral disc herniations at the D12-L1 level. Posterior peridiscal osteophytes are noted at this level.
Bilateral far lateral (extraforaminal) disc herniations are seen over the L1-L2 to the L5-S1 level. Large far lateral peridiscal osteophytes are noted at the L1-L2 level.
Anterior disc herniations with peridiscal osteophytes are noted in the dorso-lumbar region.
The L4-L5 and L5-S1 facet joints show hypertrophic degenerative changes. The rest of the lumbar facet joints show mild degenerative changes.
Type I degenerative changes (hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images) are seen within the D12 and L1 vertebral bodies adjacent to the D12-L1 intervertebral disc. Type II degenerative changes (isointense to fat) are seen within the vertebral bodies adjacent to the lumbar intervertebral discs.
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
16.0 mm at L2-L3
19.0 mm at L3-L4
17.0 mm at L4-L5
15.0 mm at L5-S1.
Screening of the dorsal spine reveals no feature of note.
- 3 - Scan-00009
1. Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra.
2. A posterior disc bulge with peridiscal osteophytes impinging both the L5 nerve roots at the L5-S1 level.
3. Posterior disc herniations with peridiscal osteophytes at the L1-L2 and L2-L3 levels.
4. Hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels and facetal arthropathy in the lumbar region.