Date : 00.00.00
Name of the Patient : Abc XyzMlmn / M / 43 yrs.
Referred by : Dr. Abc Xyzidhwa.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O accident 2 years ago.
C/O backache with pain radiating to the RLE and paresthesias since 1 month.
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 retroplacement of the L5 over the S1 vertebral body. Small pseudo-posterior disc herniation is seen at the L5-S1 level with slight inferior migration of the disc posterior to the S1 vertebral body. This disc shows loss of water content.
A small posterior disc bulge is noted at the L4-L5 level.
Schmorls nodes are noted in the lower dorsal and upper lumbar region with central wedging of the D11 and D12 vertebral bodies. Focal fatty changes are seen in the D11 and D12 vertebrae.
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.
- 2 - Scan-00009
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
12.0 mm at L1-L2
12.0 mm at L2-L3
13.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
The posterior paraspinal region in the lower thorax and upper abdomen was screened with 6 mm thick T1 Weighted and T2 Weighted axial images and 6 mm thick T1 Weighted coronal images and does not reveal any diagnostic feature of note.
The MRI features are suggestive of :
1. Slight retroplacement of the L5 over the S1 vertebral body.
2. Small pseudo-posterior disc herniation at the L5-S1 level with slight inferior migration of the disc posterior to the S1 vertebral body.
3. Central wedging of the D11 and D12 vertebral bodies with fatty marrow changes may be the sequelae of previous trauma.