Date : 00.00.00
Name of the Patient : Abc XyzAgalmn / F / 25 yrs.
Referred by : Dr. Abc Xyz. Modi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE with paresthesias.
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 vertebra and the L2 vertebra is as marked on the film.
There is mild retroplacement of the L4 vertebra over the L5 vertebra. A posterior disc herniation is seen at the L4-L5 level with mild indentation upon the traversing L5 nerve roots. Small posterior peridiscal osteophytes are seen at this level. This disc shows loss of water content.
There is a mild posterior disc bulge at the L3-L4 level.
The L4-L5 facet joints show degenerative changes. The L1-L2, L2-L3 and L3-L4 facet joints show mild degenerative changes.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-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 :
17.0 mm at D12-L1
17.0 mm at L1-L2
17.0 mm at L2-L3
13.0 mm at L3-L4
8.0 mm at L4-L5.
1. Sacralization of the L5 vertebra.
2. Mild retroplacement of the L4 vertebra over the L5 vertebra.
3. Posterior disc herniation with small posterior peridiscal osteophytes at the L4-L5 level.
4. Hypertrophic facetal arthropathy at the L4-L5 level.