Name of the Patient : Abc Xyzbhai lmn / M / 64 yrs.
Referred by : Dr. Abc Xyzhru.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE 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 L3 vertebra is as marked on the film. There is loss of water content of the L1-L2 and L5-S1 intervertebral discs.
There is a posteriorly bulging disc with peridiscal osteophytes at the L5-S1 level, with minimal indentation on the extraforaminal segment of the right L5 nerve root.
A small posterior disc bulge with a left postero-lateral (foraminal) disc herniation is noted at the L4-L5 level with left neural foraminal narrowing.
A right far lateral disc bulge with peridiscal osteophyte is noted at the L3-L4 level.
A small, postero-central protruded disc is noted at the L1-L2 level.
Facetal hypertrophy is seen at the L1-L2, L4-L5 and L5-S1 levels.
Anterior disc herniations with anterior peridiscal osteophytes are noted in the lumbar region.
Type II degenerative marrow changes are noted adjacent to the L5-S1 and L1-L2 discs.
The rest of 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 :
13.0 mm at L1-L2
14.0 mm at L2-L3
15.0 mm at L3-L4
13.0 mm at L4-L5
13.0 mm at L5-S1.
1. A posteriorly bulging disc with peridiscal osteophytes at the L5-S1 level, minimally indenting the extraforaminal segment of the right L5 nerve root.
2. A small posterior disc bulge with a left postero-lateral (foraminal) disc herniation at the L4-L5 level.
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3. A right far lateral disc bulge with peridiscal osteophyte at the L3-L4 level.
4. A small, postero-central protruded disc at the L1-L2 level.
5. Facetal hypertrophy at the L1-L2, L4-L5 and L5-S1 levels.