Name of the Patient : Abc Xyz D. Chhalmn / F / 47 yrs.
Referred by : Dr. Abc Xyzatia / Dr. Abc XyzBhatia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE since 2 months.
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 with image intensity correction.
There is partial sacralization of the L5 vertebra on the left. The L5 vertebra is as marked on the film.
There is loss of water content of the L3-L4 and L4-L5 intervertebral discs.
A small, postero-central, peridiscal osteophyte is noted at the L5-S1 level with a posteriorly bulging disc.
A small postero-central, protruded disc with peridiscal osteophyte is noted at the L4-L5, indenting the dural theca anteriorly.
Slight facetal hypertrophy is noted at the L3-L4 and L4-L5 levels.
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 :
20.0 mm at L1-L2
20.0 mm at L2-L3
19.0 mm at L3-L4
17.0 mm at L4-L5
20.0 mm at L5-S1.
The MRI features are suggestive of :
1. Partial sacralization of the L5 vertebra on the left.
2. A small, postero-central, peridiscal osteophyte at the L5-S1 level with a posteriorly bulging disc.
3. A small postero-central, protruded disc with peridiscal osteophyte at the L4-L5 level.