Date : 00.00.00
Name of the Patient : Abc XyzBlmn / M / 38 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O severe backache.
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 L3-L4 and L4-L5 intervertebral discs.
Small postero-central disc herniation with peridiscal osteophytes is noted at the L4-L5 level.
Small postero-central protruded disc with peridiscal osteophytes is noted at the L5-S1 level.
Slight facetal hypertrophy is noted at the L5-S1 level.
There is slight anterior wedging of the D12 vertebral body with fatty marrow changes in its superior half.
The visualized lumbar vertebral bodies show slight preponderance of hematopoeitic marrow. 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 D12-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 :
22.0 mm at L1-L2
21.0 mm at L2-L3
18.0 mm at L3-L4
14.0 mm at L4-L5
14.0 mm at L5-S1.
1. Degenerated L4-L5 disc with a small postero-central disc herniation with peridiscal osteophytes at that level.
2. Small postero-central protruded disc with peridiscal osteophytes at the L5-S1 level.
3. Anterior wedging of the D12 vertebral body is ? the sequelae of previous trauma.