Name of the Patient : Abc Xyz Chandanslmn / F / 50 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE 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.
The L1 vertebral body is as marked on the film with sacralization of the L5 vertebral body.
There is slight forward translation of the L4 over the L5 vertebra.
A small posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac. The L4-L5 facet joints show hypertrophic degenerative changes.
The lumbar facet joints show mild degenerative changes.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. 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 :
14.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
9.0 mm at L4-L5
8.0 mm at L5-S1.
1. Sacralization of the L5 vertebral body.
2. Slight forward translation of the L4 over the L5 vertebra with a small posterior disc herniation at the L4-L5 level with hypertrophic facetal arthropathy.