Date : 00.00.00
Name of the Patient : Abc XyzA.lmn / F / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE with occasional tingling since 6 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 is partial sacralization of the L5 vertebra on the right side and the L4 vertebra is as marked on the film.
The L1-L2 and L4-L5 intervertebral discs show loss of water content. There is mild retroplacement of the L4 vertebra over the L5 vertebra.
There is a small postero-central disc herniation with peridiscal osteophyte indenting the thecal sac at the L4-L5 level. Ligamentum flavum hypertrophy and facetal hypertrophy is noted at this level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of 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.
- 2 - Scan-00001
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.
The MRI features are suggestive of :
1. Partial sacralization of the L5 vertebra on the right side.
2. A small postero-central disc herniation with peridiscal osteophyte at the L4-L5 level with ligamentum flavum and facetal hypertrophy at that level.