sb/bv/rg.

Name of the Patient : Abc Xyza Shirolmn / F / 65 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE since 10-15 days.

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 sacralization of the L5 vertebra. There is loss of water content of nearly all the lumbar intervertebral discs except the L5-S1 intervertebral disc.

There is minimal forward translation of the L4 over the L5 vertebra without obvious spondylolysis. A resulant, small, pseudo-posterior disc bulge is noted at the L4-L5 level.

Small posterior disc bulge is noted at the L3-L4 level.

Facetal hypertrophy is noted in the lumbar region with slight ligamentum flavum hypertrophy at the L3-L4 and L4-L5 levels.

Slight facetal hypertrophy is also noted in the lower dorsal region with a small, postero-central protruded discs at the D8-D9 level. Anterior peridiscal osteophytes are seen in the mid dorsal region.

The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
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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
17.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebra.

2. Minimal forward translation of the L4 over the L5 vertebra without obvious spondylolysis with a small pseudo-posterior disc bulge at the L4-L5 level.

3. Facetal hypertrophy in the lumbar region with slight ligamentum flavum hypertrophy at the L3-L4 and L4-L5 levels.