Date : 00.00.00
Name of the Patient : Abc XyzJalmn / M / 46 yrs.
Referred by : Dr. Abc Xyz Sane.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 1-2 years.
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 sacralization of the L5 vertebral body and the L3 vertebral body is as marked on the film.
The L3-L4 and L4-L5 intervertebral discs show loss of water content.
Posterior disc herniations with small posterior peridiscal osteophytes are seen at the L3-L4 and the L4-L5 levels with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.
A left far lateral disc bulge is seen at the L3-L4 level with indentation upon the extraforaminal portion of the left L3 nerve root.
An anterior disc herniation is seen at the L4-L5 level.
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 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
15.0 mm at L2-L3
11.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra.
2. Posterior disc herniations at the L3-L4 and the L4-L5 levels.