Date : 00.00.00
Name of the Patient : Abc Xyzalmn / F / 50 yrs.
Referred by : Dr. Abc Xyzlchandani.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE.
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.
Posterior disc herniations with peridiscal osteophytes are seen to indent the thecal sac and narrow both neural foramina at the L3-L4, L4-L5 and L5-S1 levels. Also seen are bilateral far lateral (extraforaminal) disc herniations at these levels.
There is a posterior disc bulge at the L2-L3 level. Bilateral far lateral (extraforaminal) disc bulges are noted at this level.
The L3-L4, L4-L5 and L5-S1 facet joints show degenerative changes. Mild ligamentum flavum hypertrophy is seen over the L3-L4 to the L5-S1 levels.
The pedicles of the lumbar vertebrae are congenitally short in their antero-posterior dimensions.
The lumbar intervertebral discs show loss of water content.
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 :
18.0 mm at L1-L2
17.0 mm at L2-L3
14.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.
1. Posterior and bilateral far lateral (extraforaminal) disc herniations with peridiscal osteophytes and facetal arthropathy at the L3-L4, L4-L5 and L5-S1 levels.
2. Mild ligamentum flavum hypertrophy over the L3-L4 to the L5-S1 levels.
3. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.