hs/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc XyzJhalmn / M / 42 yrs.
Referred by : Dr. Abc Xyzin.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache since 3-4 years.
EXAMINATION :
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The site of tenderness has been marked with the help of Vitamin E capsules (isointense to fat).
Mild posterior disc bulges with small peridiscal osteophytes are seen over the D4-D5 to the L1-L2 levels.
Mild facetal/capsular ligament hypertrophy is seen at the D8-D9 level.
The visualized dorsal intervertebral discs show loss of water content with some of them being decreased in height.
The visualized dorsal vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
Scan-00006
The conus medullaris terminates at the D12 level.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and reveals a posteriorly bulging discs indenting the thecal sac and narrowing both neural foramen at the L3-L4 and L4-L5 levels.
IMPRESSION :
The MRI features are suggestive of :
1. Mild posterior disc bulges with small peridiscal osteophytes over the D4-D5 to the L1-L2 levels.
2. Mild facetal/capsular ligament hypertrophy at the D8-D9 level.