Name of the Patient : Abc Xyz lmn / F / 42 yrs.
Referred by : Dr. Abc Xyzishnav.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
H/O fall 15-20 years back with backache and pain radiating to BLE with 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 loss of water content of the L4-L5 intervertebral disc.
There is a small posterior disc herniation at the L4-L5 level with slight bilateral neural foraminal narrowing. Facetal and ligamentum flavum hypertrophy is noted with a tight canal at this level.
Facetal hypertrophy is noted at the L5-S1 and D9-D10 levels on the right.
A small postero-central protruded disc is noted at the D10-D11 level. This disc shows loss of water content.
The visualized dorso-lumbar vertebral bodies show spotty fatty marrow changes. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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 :
9.0 mm at L1-L2
12.0 mm at L2-L3
15.0 mm at L3-L4
16.0 mm at L4-L5
16.0 mm at L5-S1.
Screening, T2 Weighted sagittal images of the cervico-dorsal region do not show any significant feature of note.
1. Degenerated L4-L5 disc with a small posterior disc herniation, facetal and ligamentum flavum hypertrophy with a tight canal at this level.
2. Facetal hypertrophy at the L5-S1 and D9-D10 levels on the right.
3. A small postero-central protruded disc at the D10-D11 level.