Name of the Patient : Abc XyzM. Poonawlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzngsarkar.
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.
There is probable sacralization of the L5 vertebra and is as marked on the film. Please correlate with plain radiographs.
The L3-L4 and L4-L5 facet joints show mild degenerative changes bilaterally. Facetal hypertrophy is noted at the D10-D11 level.
The L3-L4 and L4-L5 intervertebral discs show loss of water content.
Type II degenerative changes are noted in the antero-superior portion of the L3 and L4 vertebral bodies.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
- 2 - Scan-00004
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 :
17.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
13.0 mm at L4-L5
9.0 mm at L5-S1.
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra. Please correlate with plain radiographs.
2. Mild facetal arthropathy at the L3-L4 and L4-L5 levels.
3. Facetal hypertrophy at the D10-D11 level.