Name of the Patient : Abc Xyzchandra Glmn / M / 48 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain and paresthesias in BLE.
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 normal lumbar lordosis and loss of water content of the L2-L3, L4-L5 and L5-S1 levels.
A posterior disc bulge with peridiscal osteophytes is noted at the L5-S1 level, with bilateral neural foraminal narrowing. Facetal hypertrophy is also noted.
A fairly large, posteriorly extruded disc with peridiscal osteophytes is noted at the L4-L5 level with thecal sac compression and indentation on the L5 nerve roots bilaterally. Slight facetal hypertrophy is noted at this level.
A small posterior disc bulge is noted at the L3-L4 level with slight facetal hypertrophy.
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 :
17.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
7.0 mm at L4-L5
12.0 mm at L5-S1.
1. A fairly large, posteriorly extruded disc with peridiscal osteophytes at the L4-L5 level with indentation of the L5 nerve roots and facetal hypertrophy at that level.
2. A small posterior disc bulge with peridiscal osteophytes at the L5-S1 level, with slight facetal hypertrophy.