Name of the Patient : Abc Xyzsglmn / F / 52 yrs.
Referred by : Dr. Abc Xyz Sonavane.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE (right more than left) since 00.00.0000.
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 L2-L3, L3-L4 and L4-L5 intervertebral discs.
There is a fairly large, posteriorly extruded disc at the L2-L3 level with thecal sac compression and indentation on the traversing L3 nerve roots bilaterally.
A small postero-central disc herniation is noted at the L3-L4 level.
Posteriorly bulging discs are noted at the L4-L5 and L5-S1 levels. The L5-S1 intervertebral disc shows mild loss of water content.
Facetal hypertrophy is noted in the lumbar region, maximum at the L4-L5 and L5-S1 levels. Slight ligamentum flavum hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels.
A hemangioma with fat content (hyperintense on all the pulse sequences) is noted in the L3 vertebral body.
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 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 :
12.0 mm at L1-L2
7.0 mm at L2-L3
9.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.
1. A fairly large, posteriorly extruded disc at the L2-L3 level with indentation on the traversing L3 nerve roots bilaterally.
2. A small postero-central disc herniation at the L3-L4 level.
3. Posteriorly bulging discs at the L4-L5 and L5-S1 levels.
4. Facetal hypertrophy in the lumbar region, maximum at the L4-L5 and L5-S1 levels.
5. Slight ligamentum flavum hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.
6. Lumbar canal stenosis at the L2-L3 level and a tight lumbar canal at the L3-L4, L4-L5 and L5-S1 levels.