sb/ke/nl/nl
Name of the Patient : Abc XyzKalmn / F / 70 yrs.
Referred by : Dr. Abc Xyzmani.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O numbness in BLE.
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 with slight clockwise rotational anomaly of the lumbar vertebrae.
There is minimal forward translation of the L4 over the L5 vertebra without any obvious spondylolysis.
There is loss of water content of the lumbar intervertebral discs.
Small posterior disc bulges with peridiscal osteophytes are noted in the lumbar region. Minimal indentation on the traversing left L5 nerve root is noted at the L4-L5 level (scan 106.4).
Slight facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels with slight ligamentum flavum hypertrophy at the L5 and S1 levels.
Scan-00005
Schmorls nodes are noted in the lumbar region, with slight central wedging of the L1, L2 and L3 vertebral bodies.
A hemangioma with fat content is noted in the L3 vertebral body.
The lumbar vertebral bodies show spotty fatty marrow changes suggesting osteoporosis. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 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 :
19.0 mm at L1-L2
21.0 mm at L2-L3
21.0 mm at L3-L4
20.0 mm at L4-L5
17.0 mm at L5-S1.
IMPRESSION :
1. Scoliosis of the lumbar spine with convexity to the left with slight clockwise rotational anomaly of the lumbar vertebrae.
2. Small posterior disc bulges with peridiscal osteophytes in the lumbar region with minimal indentation on the traversing left L5 nerve root at the L4-L5 level.
3. Slight facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels with slight ligamentum flavum hypertrophy at the L5 and S1 levels.
4. Osteoporotic changes in the visualized lumbo-sacral vertebrae.