Name of the Patient : Abc Xyzi K. Plmn / F / 45 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE with tingling.
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 sacralization of the L5 vertebra and it is as marked on the film. Please correlate with plain radiographs.
There is loss of water content of the L3-L4 and L4-L5 intervertebral discs.
There is a fairly large, postero-central and right paracentral extruded disc at the L4-L5 level with slight inferior migration of the disc fragment indenting the traversing right L5 nerve root. Hypertrophic facetal arthropathy and ligamentum flavum hypertrophy is noted at this level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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 :
16.0 mm at L1-L2
15.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
Screening, T2 Weighted sagittal images of the dorsal spine reveals slight facetal hypertrophy in the lower dorsal region. The D2 vertebral body appears hyperintense on all the pulse sequences with focal hypointense signal within which may suggest a vertebral body hemangioma.
Screening, T2 Weighted sagittal images of the cervical spine
do not reveal any significant feature of note.
1. Sacralization of the L5 vertebra. Please correlate with plain radiographs.
2. A fairly large, postero-central and right paracentral extruded disc at the L4-L5 level with slight inferior migration of the disc fragment indenting the traversing right L5 nerve root with hypertrophic facetal arthropathy and ligamentum flavum hypertrophy at this level.
3. Altered signal in the D2 vertebral body follows the signal characteristics of a vertebral body hemangioma.