Name of the Patient : Abc Xylmn / F / 40 yrs.
Referred by : Dr. Abc Xyzolakia
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE with paresthesias in BUE and LLE.
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 all the lumbar intervertebral discs except of the L5-S1 intervertebral disc.
There is sacralization of the L5 vertebra which is as marked on the film.
There is minimal forward translation of the L4 vertebra over the L5 vertebra with probable spondylolysis at L4, on the left.
A minimal posterior disc bulge is noted at the L4-L5 level. Hypertrophic facetal arthropathy is also noted at this level.
Mild facetal hypertrophy is noted at the L3-L4 level, bilaterally.
Type II degenerative marrow changes are noted adjacent to the L4-L5 disc.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 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 :
16.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
12.0 mm at L5-S1.
1. Sacralization of the L5 vertebra.
2. Minimal forward translation of the L4 over the L5 vertebra with probable spondylolysis at L4, on the left.
3. A minimal posterior disc bulge at the L4-L5 level with hypertrophic facetal arthropathy at this level.