Date : 00.00.00

Name of the Patient : Abc Xyzta Palmn / F / 52 yrs.
Referred by : Dr. Abc Xyzlwalkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 2 years.

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 partial sacralization of the L5 vertebra.

The L5 vertebra is as marked on the film.

The L3-L4 and L4-L5 intervertebral discs show loss of water content.

There is retroplacement of the L3 over the L4 vertebra.

Posterior disc herniations with peridiscal osteophytes are seen to indent the thecal sac and narrow both neural foramina at the L3-L4 and L4-L5 levels. Bilateral far lateral (extraforaminal) disc bulges are seen at these levels.

A postero-central disc protrusion is seen to indent the thecal sac at the L2-L3 level.



Type II degenerative changes are noted within the L3, L4 and L5 vertebral bodies adjacent to the L2-L3, L3-L4 and L4-L5 intervertebral discs. A focal hyperintensity on all the pulse sequences is seen within the D11 and D12 vertebral bodies ? hemangioma with high fat content.

An anterior disc herniation is noted at the L3-L4 level.

The rest of 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 S1 level.

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

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

IMPRESSION :

1. Partial sacralization of the L5 vertebra.

2. Posterior disc herniations with peridiscal osteophytes at the L3-L4 and L4-L5 levels with bilateral neural foraminal narrowing.