Name of the Patient : Abc Xyz Siddheslmn / F / 25 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to the RLE.
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 appears to be sacralization of the L5 vertebra and the L2 and L5 vertebrae are as marked on the film.
There is mild retroplacement of the L4 vertebra over the L5 vertebra.
The L4-L5 intervertebral disc shows loss of water content.
A large postero-central disc extrusion with a peridiscal osteophyte is seen to indent the thecal sac at the L4-L5 level. A disc portion is seen to lie within the anterior epidural space (more to the right of the midline) at the L5 vertebral level with impingement of the traversing right L5 nerve root.
Mild flavum hypertrophy is noted at the L4-L5 level.
The facet joints in the lumbar region appear slightly hypertrophied.
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-S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
8.0 mm at L4-L5
9.0 mm at L5-S1.
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra.
2. A large postero-central disc extrusion with a peridiscal osteophyte with canal stenosis at the L4-L5 level. A disc protion is seen to lie within the anterior epidural space (more to the right of the midline) at the L5 vertebral level with impingement of the traversing right L5 nerve root.