Name of the Patient : Abc Xyz S. Goklmn / F / 51 yrs.
Referred by : Dr. Abc Xyzodak.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE and paresthesias.
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 reduction in the height of the L5-S1 intervertebral disc with loss of water content of the lumbar intervertebral discs, more marked at the L4-L5 and L5-S1 levels.
There is a small posterior with bilateral far lateral disc herniation at the L5-S1 level with peridiscal osteophytes and mild indentation upon the extraforaminal portion of the L5 nerve roots. A large anterior disc herniation is also seen at this level.
A small posterior disc herniation with peridiscal osteophytes is noted at the L4-L5 level.
The L4-L5 facet joint on the right side and the L5-S1 facet joint on the left side show hypertrophic degenerative changes.
Type II degenerative changes are noted in the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc.
Tarlovs cyst is seen at the S2 vertebral level on the left.
The remaining lumbar vertebral bodies 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 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 :
21.0 mm at L1-L2
13.0 mm at L2-L3
18.0 mm at L3-L4
19.0 mm at L4-L5
21.0 mm at L5-S1.
1. Small posterior with bilateral far lateral disc herniation at the L5-S1 level with peridiscal osteophytes indenting the extraforaminal portion of the L5 nerve roots.
2. A small posterior disc berniation with peridiscal osteophytes at the L4-L5 level.
3. Hypertrophic facetal arthropathy at the L4-L5 level on the right side and at the L5-S1 level on the left side.