Date : 00.00.00
Name of the Patient : Abc XyzR. lmn / F / 57 yrs.
Referred by : Dr. Abc Xyznawalla/ Dr. Abc Xyzdakia
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain radiating to BLE (right more than left).
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 loss of water content of the L1-L2, L2-L3 and L4-L5 intervertebral discs.
There is a small, postero-central protruded disc at the L4-L5 level indenting the dural theca anteriorly. There is also ligamentum flavum and facetal hypertrophy at this level with resultant canal stenosis.
A small, postero-central protruded disc is noted at the L2-L3 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 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
13.0 mm at L2-L3
14.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.
1. A small, postero-central protruded disc at the L4-L5 level with ligamentum flavum and facetal hypertrophy with resultant canal stenosis.
2. A small, postero-central protruded disc at the L2-L3 level.