sb/hs/nl/nl
Name of the Patient : Abc Xyzhila Talmn / F / 57 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.
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 slight retroplacement of the L3 vertebra over the L4 vertebra.
There is reduction in height of the L1-L2 and L5-S1 discs and loss of water content of the lumbar intervertebral discs.
Posterior and bilateral far lateral disc herniations with peridiscal osteophytes are noted at the L5-S1 level with slight bilateral neural foraminal narrowing.
A posterior and left far lateral disc herniations with peridiscal osteophytes is noted at the L4-L5 level with bilateral neural foraminal narrowing. Ligamentum flavum hypertrophy is noted at this level.
Left and right postero-lateral and far lateral disc herniations with peridiscal osteophytes are noted at L3-L4 level.
The L4-L5 and L5-S1 facet joints show hypertrophic degenerative changes.
A postero-central disc herniation is noted at the L2-L3 level.
A posterior disc bulge with peridiscal osteophytes is noted at the L1-L2 level.
Type II degenerative marrow changes are noted adjacent to the L3-L4, L4-L5 and L5-S1 intervertebral discs.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-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 :
12.0 mm at L1-L2
13.0 mm at L2-L3
17.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. Posterior and bilateral far lateral disc herniations with peridiscal osteophytes at the L5-S1 level.
2. A posterior and left far lateral disc herniation with peridiscal osteophytes at the L4-L5 level. Ligamentum flavum hypertrophy with a tight canal is seen at this level.
..3/.
- 3 - Scan-00004
3. Left and right postero-lateral and far lateral disc herniations with peridiscal osteophytes at the L3-L4 level.
4. A postero-central disc herniation at the L2-L3 level.
5. A posterior disc bulge with peridiscal osteophytes at the L1-L2 level.
6. Hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels.