ke/bv/rg.
Name of the Patient : Abc Xyzben Palmn / F / 75 yrs.
Referred by : Dr. Abc Xyzauhan / Dr. Abc Xyzarmar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE with paresthesias since 4-5 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 scoliosis of the lumbar spine with convexity to the left.
The lumbar intervertebral discs show loss of water content.
A large left paracentral disc extrusion with peridiscal osteophytes is seen at the L2-L3 level with left antero-lateral compression of the thecal sac and resultant canal stenosis.
Diffuse posterior disc herniations with peridiscal osteophytes are seen at the L3-L4 and L4-L5 levels with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. The facet joints at these levels show degenerative changes with resultant tight canal. Bilateral far lateral disc bulges are also noted at these levels.
A small posterior and right paracentral disc herniation is seen at the L1-L2 level.
The L1-L2, L2-L3 and L5-S1 facet joints show degenerative changes.
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- 2 - Scan-00007
The pedicles of the lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
The lumbar vertebral bodies reveal spotty fatty changes suggesting osteoporosis. 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 :
15.0 mm at D12-L1
14.0 mm at L1-L2
7.0 mm at L2-L3
10.0 mm at L3-L4
10.0 mm at L4-L5
8.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Scoliosis of the lumbar spine with convexity to the left.
2. A large left paracentral disc extrusion with peridiscal osteophytes at the L2-L3 level with resultant canal stenosis.
3. Diffuse posterior disc herniations with peridiscal osteophytes at the L3-L4 and L4-L5 levels with resultant tight canal.
4. Facetal arthropathy in the lumbar region.
5. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.