ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzBlmn / F / 70 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE (left more than right) with paresthesias.
EXAMINATION :
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.
OBSERVATION :
The lumbar intervertebral discs show loss of water content.
There is a small posterior disc herniation at the L5-S1 level.
Anterior disc herniations are noted at the L2-L3 and L3-L4 levels. Limbus vertebra is seen in the antero-superior portion of the L4 vertebral body.
Hemangiomas with fatty content are seen within the D5, D11, D12, L1, L2 and S1 vertebral bodies.
The rest of the lumbar vertebral bodies 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.
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
18.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. A small posterior disc herniation at the L5-S1 level.
2. Hemangiomas within the D5, D11, D12, L1, L2 and S1 vertebral bodies.