Name of the Patient : Abc Xyzal lmn / M / 54 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE with numbness.
H/O similar complaints on and off.
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 water content of nearly all the lumbar intervertebral discs except the L5-S1 disc.
There is a fairly large posteriorly extruded disc with a peridiscal osteophyte at the L4-L5 level with thecal sac compression and indentation on the traversing L5 nerve roots bilaterally. Superior and inferior migration of the disc fragment is noted. There is also slight facetal hypertrophy with significant canal stenosis at the L4-L5 level.
Small posterior disc bulges with peridiscal osteophytes are noted at the D12-L1, L2-L3 and L3-L4 levels with slight bilateral neural foraminal narrowing.
Slight facetal hypertrophy is noted at the L3-L4 and L4-L5 levels.
The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
Anterior disc herniations with peridiscal osteophytes are seen at the L2-L3, L3-L4 and L4-L5 levels.
The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
Schmorls nodes are seen in the lumbar region.
The conus medullaris terminates at the D12-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 :
14.0 mm at L1-L2
12.0 mm at L2-L3
13.0 mm at L3-L4
5.0 mm at L4-L5
11.0 mm at L5-S1.
1. A fairly large posteriorly extruded disc with a peridiscal osteophyte at the L4-L5 level with indentation on the traversing L5 nerve roots bilaterally with facetal hypertrophy with significant canal stenosis at this level.
2. Small posterior disc bulges with peridiscal osteophytes at the D12-L1, L2-L3 and L3-L4 levels.
3. Slight facetal hypertrophy at the L3-L4 and L5-S1 levels.