Date : 00.00.00
Name of the Patient : Abc Xyza Mehrlmn / F / 72 yrs.
Referred by : Dr. Abc Xyzukar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with paresthesias in BLE.
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 lumbar intervertebral discs show loss of water content.
There is a posterior disc herniation at the L5-S1 level with anterior indentation of the thecal sac. Bilateral extraforaminal disc bulges are seen at the L5-S1 level with indentation upon the extraforaminal portion of the traversing L5 nerve roots. Ligamentum flavum hypertrophy and facetal arthropathy is noted at this level.
Small posterior disc herniations are seen at the L1-L2, L2-L3, L3-L4 and L4-L5 levels with anterior indentation of the thecal sac and bilateral neural foraminal narrowing at the L3-L4 and L4-L5 levels and right neural foraminal narrowing at the L2-L3 level. The lumbar facet joints at these levels also show degenerative changes.
Schmorls nodes are seen at the L2-L3 and L1-L2 levels. Anterior disc herniations are noted at the L1-L2, L2-L3 and L3-L4 levels with anterior peridiscal osteophytes.
Lateral peridiscal osteophytes are seen in the lumbar region.
Fatty changes are noted in the lumbar vertebral bodies suggestive of osteoporosis.
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 :
15.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.
1. Posterior disc herniation with bilateral far lateral disc bulges at the L5-S1 level with indentation upon the extraforaminal portion of the traversing L5 nerve roots with ligamentum flavum hypertrophy and facetal arthropathy at this level.
2. Small posterior disc herniations at the L1-L2, L2-L3, L3-L4 and L4-L5 levels with facetal arthropathy at these levels.