Name of the Patient : Abc Xyz Bhupalmn / M / 36 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with paresthesias in the LLE since 6 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.
The L5 vertebra is as marked on the film.
There is loss of water content of the L4-L5 intervertebral disc.
Minimal posterior disc bulges are noted at the L4-L5 and L5-S1 levels.
Slight facetal hypertrophy is noted at the L4-L5 level.
Type II degenerative marrow changes are noted adjacent to the L4-L5 disc.
The rest of 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 L2 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 :
21.0 mm at L1-L2
19.0 mm at L2-L3
19.0 mm at L3-L4
17.0 mm at L4-L5
14.0 mm at L5-S1.
Degenerated L4-L5 intervertebral disc with minimal posterior disc bulges at the L4-L5 and L5-S1 levels and slight facetal hypertrophy at the L4-L5 level.