ke/bv/nl.rg.
Date : 00.00.00

Name of the Patient : Abc XyzRampuralmn / M / 77 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzriwala.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE.

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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is retrolisthesis of the L3 over the L4 vertebral body with a large pseudoposterior disc herniation at the L3-L4 level compressing the thecal sac and causing bilateral neural foraminal narrowing. There is inferior migration of the disc, posterior to the L4 vertebral body in the left lateral recess with impingement of the left L4 nerve root. Type I/III degenerative changes are seen in the L2 and L3 vertebral bodies with slight irregularity of the cortical endplates.

A posterior and a right postero-lateral disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and right neural foraminal narrowing.

Diffuse posterior disc bulge with peridiscal osteophytes is seen at the L2-L3 level with bilateral neural foraminal narrowing.


Schmorls node is noted at L3-L4 level. The lumbar intervertebral discs show loss of water content.

Anterior disc herniations are seen at the L2-L3 and L3-L4 levels with peridiscal osteophytes.

The lumbar facet joints show degenerative changes. Ligamentum flavum hypertrophy is noted at the L3, L4 and L5 vertebral levels.

Type II degenerative changes are seen in the L2 and L3 vertebral bodies adjacent to the L2-L3 disc. Focal fatty change is also noted in the D12 vertebral body.

The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining 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 L5 level.

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

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

The hip joints and the S. I. joints were screened with 5 mm thick T1 Weighted axial images and 6 mm thick STIR coronal images which reveals a small pit in the head of the left femur. ..3/.









- 3 - Scan-00000


IMPRESSION :

1. Retrolisthesis of the L3 over the L4 vertebral body with a large pseudoposterior disc herniation at the L3-L4 level with inferior migration of the disc, posterior to the L4 vertebral body in the left lateral recess impinging the left L4 nerve root.

2. A posterior and a right postero-lateral disc herniation at the L4-L5 level.

3. Diffuse posterior disc bulge with peridiscal osteophytes at the L2-L3 level.

4. Facetal arthropathy in the lumbar region.