Date : 00.00.00
Name of the Patient : Abc Xyzti K. lmn / F / 54 yrs.
Referred by : Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to the RLE since 3 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 appears to be partial sacralization of the L5 vertebra on the left side. There appears to be fusion of the D8, D9, D10 and D11 vertebral bodies with a D10 hemivertebra.
A small postero-central disc herniation is seen to indent the thecal sac at the L4-L5 level. A posterior disc bulge is noted at the L5-S1 level.
The L3-L4 and L4-L5 facet joints show degenerative changes.
The lumbar intervertebral discs more so at the L4-L5 and L5-S1 levels show loss of water content.
The lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 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
14.0 mm at L2-L3
15.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.
1. Partial sacralization of the L5 vertebra on the left side.
2. Fusion of the D8, D9, D10 and D11 vertebral bodies with a D10 hemivertebra.
3. A small postero-central disc herniation at the L4-L5 level.
4. Facetal arthropathy at the L3-L4 and L4-L5 levels.