Name of the Patient : Abc Xyzlmn / F / 43 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache.
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 mild scoliosis of the lumbar spine with convexity to the right and anti-clockwise rotation of the lumbar vertebrae.
There is probable sacralization of the L5 vertebra and the D12 vertebra is as marked on the film. Please correlate with plain radiographs.
There is mild loss of water content of the L3-L4 and L4-L5 intervertebral discs.
There are small, postero-central and right postero-lateral disc herniations with peridiscal osteophytes at the L4-L5 level. Slight inferior migration of the disc is noted minimally indenting the traversing right L5 nerve root. The right L5 nerve root is probably inflamed (se/im:102/6, 103/6).
A small posterior disc bulge is seen at the L3-L4 level.
Bilateral far lateral disc bulges are noted at the L3-L4 and L4-L5 levels.
Facetal and mild ligamentum flavum hypertrophy is seen at the L3-L4 and L4-L5 levels. Mild facetal hypertrophy is noted in the lumbar region.
The lumbar vertebral bodies show spotty fatty marrow changes. The remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-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 :
19.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
13.0 mm at L4-L5
9.0 mm at L5-S1.
Screening, T1 and T2 Weighted sagittal images of the dorsal spine reveal a small, postero-central protruded disc at the D8-D9 level.
IMPRESSION :
1. Probable sacralization of the L5 vertebra. Please correlate with plain radiographs.
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- 3 - Scan-00001
2. Small, postero-central and a right postero-lateral disc herniations with peridiscal osteophytes at the L4-L5 level with slight inferior migration of the disc minimally indenting the traversing right L5 nerve root, which is probably inflamed.
3. Facetal and mild ligamentum flavum hypertrophy
at the L3-L4 and L4-L5 levels.
4. A small, postero-central protruded disc at the D8-D9 level.