sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzvati Galmn / F / 65 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Lumbo-sacral Spine
with Myelogram.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE with 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.

MR Myelogram was also obtained.

OBSERVATION :

There is probable sacralization of the L5 vertebra which is as marked on the film (Kindly correlate with plain radiographs).

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

There are posteriorly herniated discs with peridiscal osteophytes at the L3-L4 and L4-L5 levels with thecal sac compression and bilateral neural foraminal narrowing. Facetal hypertrophy is also noted at these levels with canal stenosis.

Small posterior disc bulges with peridiscal osteophytes are noted at the L1-L2 and L3-L4 levels.

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

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Bilateral far lateral (extraforaminal) disc herniations are seen at the L3-L4 and L4-L5 levels. Bilateral far lateral (extraforaminal) disc bulges are noted at the L1-L2 and L2-L3 levels.

Schmorls nodes are noted in the D11 and D12 vertebral bodies with Type II degenerative marrow changes in the vertebral bodies adjacent to the Schmorls nodes.

The lumbar vertebral bodies 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-L2 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 :

12.0 mm at L1-L2
10.0 mm at L2-L3
7.0 mm at L3-L4
7.0 mm at L4-L5
19.0 mm at L5-S1.

IMPRESSION :

1. Probable sacralization of the L5 vertebra.

2. Posteriorly herniated discs with peridiscal osteophytes at the L3-L4 and L4-L5 levels with facetal hypertrophy and canal stenosis at these levels.

3. Small posterior disc bulges with peridiscal osteophytes at the L1-L2 and L3-L4 levels.

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

5. Bilateral far lateral (extraforaminal) disc herniations at the L3-L4 and L4-L5 levels.