Date : 00.00.00
Name of the Patient : Abc Xyznt Khlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzrkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with slight weakness of 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.
There is slight loss of water content of the D12-L1 and L1-L2 intervertebral discs.
There are small posterior disc bulges at the L2-L3, L3-L4 and L4-L5 levels. Small posterior peridiscal osteophytes are identified at the L2-L3 and L3-L4 levels.
A small, postero-central disc herniation with peridiscal osteophytes is noted at the L1-L2 level, indenting the dural theca anteriorly.
Small postero-central protruded disc with peridiscal osteophytes is noted at the D12-L1 level.
Schmorls nodes are seen in the upper lumbar region.
There is slight posterior wedging of the L2 vertebral body, with focal fatty marrow changes. Slight anterior wedging of the L1 vertebral body without change in signal intensity.
The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
11.0 mm at L1-L2
10.0 mm at L2-L3
9.0 mm at L3-L4
11.0 mm at L4-L5
12.0 mm at L5-S1.
1. Small posterior disc bulges at the L2-L3, L3-L4 and L4-L5 levels.
2. A small, postero-central disc herniation with peridiscal osteophytes at the L1-L2 level.
3. Small postero-central protruded disc with peridiscal osteophytes at the D12-L1 level.
4. Slight posterior wedging of the L2 vertebral body and anterior wedging of the L1 vertebral body, is ? the sequelae of previous trauma.
5. Tight canal at the L3-L4 level.