sb/bv/nl/rg.
Scan No. : 00005 Date : 00.00.00

Name of the Patient : Abc Xyzr Huslmn / M / 50 yrs.
Referred by : Dr. Abc Xyzddiqui.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

H/O catch 16 days back with weakness of the LLE, pain and paresthesias.

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.

PATIENT DID NOT ALLOW COMPLETION OF STUDY AS PATIENT WAS IN SEVERE PAIN. SOME IMAGES SHOW PATIENT MOTION. PATIENT REFUSED SEDATION.

OBSERVATION :

There is loss of normal lumbar lordosis and loss of water content of all the lumbar intervertebral discs except the L5-S1 disc.

There is mild replacement of L3 over L4 vertebral bodies.

A fairly large, posteriorly herniated disc with peridiscal osteophytes is noted at the L3-L4 level with thecal sac compression and canal stenosis.

Small posterior disc herniations with peridiscal osteophytes are noted at the L4-L5 and L2-L3 levels.

Small posterior peridiscal osteophyte is noted at the L1-L2 level.


Facetal hypertrophy is noted in the lumbar region.

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

The lumbar vertebral bodies 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 :

10.0 mm at L1-L2
9.0 mm at L2-L3
9.0 mm at L3-L4
10.0 mm at L4-L5
14.0 mm at L5-S1.

IMPRESSION :

1. A fairly large, posteriorly herniated disc with peridiscal osteophytes at the L3-L4 level.

2. Small posterior disc herniations with peridiscal osteophytes at the L4-L5 and L2-L3 levels.

3. Facetal hypertrophy in the lumbar region.

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

5. Lumbar canal stenosis at the L2-L3, L3-L4 and L4-L5 levels.