Name of the Patient : Abc Xyztabai Slmn / F / 45 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE since 1 year.
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.
IMAGES SHOW PATIENT MOTION (PATIENT WAS NOT CO-OPERATIVE).
There is loss of water content of the L3-L4 and L4-L5 intervertebral discs.
There is a posteriorly herniated disc at the L4-L5 level with facetal and ligamentum flavum hypertrophy and canal stenosis.
There is a postero-central and left postero-lateral disc herniation at the L3-L4 level indenting the traversing left L4 nerve root. Slight facetal hypertrophy is noted at this level.
The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
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.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
10.0 mm at L2-L3
8.0 mm at L3-L4
10.0 mm at L4-L5
10.0 mm at L5-S1.
1. A posteriorly herniated disc at the L4-L5 level with facetal and ligamentum flavum hypertrophy and canal stenosis.
2. A postero-central and left postero-lateral disc herniation at the L3-L4 level indenting the traversing left L4 nerve root and slight facetal hypertrophy at that level with a tight lumbar canal.
3. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.