sb/ke/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzPurlmn / M / 52 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache (off and on) since 10 years.
C/O radicular pain to BLE since 2 years.
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 loss of water content of the L2-L3, L3-L4 and L4-L5 intervertebral discs.
Minimal posterior disc bulges are noted at the L4-L5 and L5-S1 levels.
The facet joints at the L3-L4 and L4-L5 levels bilaterally and at the D11-D12 level on the right appear slightly hypertrophied.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 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
17.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
Degenerated L2-L3, L3-L4 and L4-L5 intervertebral discs with slight facetal hypertrophy at the L3-L4 and L4-L5 levels bilaterally and at the D11-D12 level on the right.