ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzAli Pavalmn / M / 28 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with tingling since 2 months.

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 a posterior disc herniation at the L4-L5 level with anterior compression of the thecal sac and resultant canal stenosis. There is bilateral neural foraminal narrowing. The L4-L5 intervertebral disc shows loss of water content.

Small posterior disc herniation is seen at the L5-S1 level. Schmorls nodes are noted in the dorso-lumbar region.

The pedicles of the lumbar vertebrae are congenitally short in their antero-posterior dimensions.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints appear slightly hypertrophied. The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the 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 :

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

IMPRESSION :

1. A posterior disc herniation at the L4-L5 level
with resultant canal stenosis.

2. Small posterior disc herniation at the L5-S1 level.

3. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.