sb/hs/nl/nl
Name of the Patient : Abc Xyzal Mlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with paresthesias in BLE since 10 months.
EXAMINATION :
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.
OBSERVATION :
There is loss of normal lumbar lordosis and loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is a small posterior disc bulge with peridiscal osteophytes at the L5-S1 level. Facetal hypertrophy is noted at this level.
There is a posterior disc herniation with peridiscal osteophytes at the L4-L5 level with slight inferior migration of the disc fragment indenting the traversing L5 nerve roots bilaterally. There is facetal and ligamentum flavum hypertrophy with canal stenosis at this level.
Slight facetal hypertrophy is noted at the L2-L3 and L3-L4 levels. There is a mild posterior disc bulge at the L3-L4 level.
The D12 body shows a hypointense signal on all the pulse sequences suggesting sclerosis.
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 D12-L1 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 :
15.0 mm at L1-L2
13.0 mm at L2-L3
14.0 mm at L3-L4
11.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
1. A small posterior disc bulge with peridiscal osteophytes and facetal hypertrophy at the L5-S1 level.
2. A posterior disc herniation with peridiscal osteophytes at the L4-L5 level with slight inferior migration of the disc fragment indenting the traversing L5 nerve roots bilaterally. There is facetal and ligamentum flavum hypertrophy with canal stenosis at this level.
3. Slight facetal hypertrophy at the L2-L3 and L3-L4 levels.