sb/ke/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzWaghlmn / M / 34 yrs.
Referred by : Dr. Abc Xyzosale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 17-18 years.
H/O Pulmonary Kochs in 0000 & 0000. Received AKT.
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 D12-L1, L3-L4 and L4-L5 intervertebral discs. Hypointense areas in the D12-L1 intervertebral disc on all the pulse sequences would represent calcification/vacuum phenomena.
Small postero-central protruded discs are noted at the L3-L4 and L4-L5 levels.
The facet joints in the lumbar region appear slightly hypertrophied.
Schmorls nodes are noted in the upper lumbar region.
The lumbar vertebral bodies and the remaining intervertebral discs 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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
13.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Small postero-central protruded discs at the L3-L4 and L4-L5 levels.
2. Slight facetal hypertrophy in the lumbar region.