Name of the Patient : Abc Xyz Gul. Mlmn / F / 62 yrs.
Referred by : Dr. Abc Xyzshim.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE.
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 a posterior disc herniation with peridiscal osteophytes at the L5-S1 level with anterior indentation of the thecal sac. Bilateral far lateral disc herniations are also seen at this level with indentation upon the extraforaminal portion of the exiting L5 nerve roots bilaterally.
Postero-central, left postero-lateral and left far lateral disc herniations are seen at the L4-L5 level with anterior indentation of the thecal sac, left neural foraminal narrowing and indentation upon the exiting left L5 nerve root.
There is a posterior disc bulge and bilateral far lateral disc bulges at the L3-L4 level.
Anterior disc herniations with peridiscal osteophytes
are noted in the lumbar region. A Schmorls node is seen at the superior aspect of the D12 vertebral body.
The lumbar intervertebral discs show loss of water content.
The L3-L4, L4-L5 and L5-S1 facet joints bilaterally show hypertrophic degenerative changes.
- 2 - Scan-00008
The lumbar vertebral bodies 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 S1 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
16.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.
Incidental note is made of a large renal cyst on the left side.
The MRI features are suggestive of :
1. A posterior disc herniation with peridiscal osteophytes at the L5-S1 level with bilateral far lateral disc herniations indenting the extraforaminal portion of the exiting L5 nerve roots bilaterally at this level.
2. Postero-central, left postero-lateral and left far lateral disc herniations at the L4-L5 level with indentation upon the exiting left L5 nerve root.
3. Hypertrophic facetal arthropathy at the L3-L4, L4-L5 and L5-S1 levels.
4. Canal stenosis at the L4-L5 level and a tight canal at the L5-S1 level.