Sunday, 27 December 2015 16:48

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Date : 00.00.00

Name of the Patient : Abc Xyzkumar Milmn / M / 21 yrs.
Referred by : Dr. Abc Xyzlke.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with numbness.

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 :

The L4-L5 and L5-S1 intervertebral discs show loss of water content.

There is anti-clockwise rotation of the mid lumbar vertebrae.

There are small posterior disc herniations at the L4-L5 and L5-S1 levels with anterior indentation of the thecal sac. Schmorls nodes are noted in the inferior aspect of the L4 vertebral body and superior aspect of the S1 vertebral body.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and 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 S2 level.





The S. I. joints were screened with 4 mm thick STIR coronal images and 6 mm thick T1 Weighted coronal images which shows fatty changes in the right sacral and iliac bones.

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

14.0 mm at L1-L2
14.0 mm at L2-L3
14.0 mm at L3-L4
15.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

Small posterior disc herniations at the L4-L5 and L5-S1 levels.


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