Name of the Patient : Abc Xyz Islmn / F / 60 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE since 3-4 years.
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 scoliosis of the lumbar spine with convexity to the left with clockwise rotation of the upper lumbar vertebrae.
The L5 vertebral body is decreased in height and is slightly subluxated to the right side.
The D12 and L2 vertebral bodies are decreased in height with presence of Schmorls nodes at their superior aspect.
The L4-L5 facet joints show hypertrophic degenerative changes. There is pinching of the left L4 nerve root within the neural foramen at the L4-L5 level (scans 102.1, 2).
The L5-S1 facet joints also show degenerative changes.
Postero-central disc protrusions are noted at the L2-L3 and L3-L4 levels.
- 2 - Scan-00002
The lumbar intervertebral discs show loss of water content. The lumbar vertebral bodies and the screening images of the cervico-dorsal spine show areas of fatty replacement of normal marrow.
There is atrophy of the lumbar paraspinal muscles.
The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 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 :
17.0 mm at L1-L2
18.0 mm at L2-L3
15.0 mm at L3-L4
16.0 mm at L4-L5
13.0 mm at L5-S1.
The MRI features are suggestive of :
1. Severe scoliosis of the lumbar spine with convexity to the left.
2. Hypertrophic facetal arthropathy at the L4-L5 level with pinching of the left L4 nerve root within the neural foramen at this level.
3. Compression fracture of the D12, L2 and L5 vertebral bodies superimposed upon an osteoporotic spine.