ke/bv/rg.

Name of the Patient : Abc Xyzbai M. Nathani F / 67 yrs.
Referred by : Dr. Abc Xyzffer Moledina.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

Known C/O Potts spine in the dorsal region with paraplegia and bladder involvement since March 0000. On AKT.
H/O transthoracic decompression at D4/5/6 levels on 00.00.0000 with bone grafting and Lat AO plate fixation done.

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.

FEW IMAGES SHOW PATIENT MOTION, AS PATIENT WAS UNABLE TO UNDERSTAND AND HER POOR GENERAL CONDITION DID NOT PERMIT SEDATION.

OBSERVATION :

There is scoliosis of the lumbar spine with convexity to the left and clockwise rotational anomalies of the lumbar vertebral bodies.

Small posterior disc bulges are seen at the L3-L4 and L4-L5 levels with anterior indentation of the thecal sac. A small focal left far lateral disc protrusion is noted at the L3-L4 level.

A postero-central disc protrusion is seen at the L5-S1 level. The lumbar intervertebral discs show loss of water content.

The intrathecal nerve roots in the lumbar region are not well-defined ? arachnoiditis.
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- 2 - Scan-00007

Small posterior peridiscal osteophytes are noted at the L3-L4, L4-L5 and L5-S1 levels.

Type II degenerative change is seen in the L5 vertebral body adjacent to the L4-L5 and L5-S1 intervertebral discs.

The rest of the lumbar vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1-S2 level.

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

15.0 mm at L1-L2
14.0 mm at L2-L3
15.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.

The cervico-dorsal spine was screened with 5 mm thick T2 Weighted sagittal images which show post-operative changes with susceptibility artifacts at D4, D5 and D6 levels. It is difficult to assess the status of the spinal cord at these levels.

IMPRESSION :

The MRI features are suggestive of :

1. Small posterior disc bulges at the L3-L4 and L4-L5 levels.

2. A postero-central disc protrusion at the L5-S1 level.

3. Small posterior peridiscal osteophytes at the L3-L4, L4-L5 and L5-S1 levels.

4. Clumping of the nerve roots in the lumbar region ? arachnoiditis.