/830 Date : 00.00.00

Name of the Patient : Abc XyzLaklmn / F / 71 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

H/O trauma 4 days back. X-rays suggest fracture of pubic ramus.
C/O backache and bilateral hip pain.
C/O incontinence of urine since 1 day.

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.

3 mm thick T1 Weighted coronal images.

OBSERVATION :

There appears to be a fracture of the right sacral ala and vertebral body at the S2/S3 level with a kyphus.

Posterior disc bulges are noted at the L4-L5 and L5-S1 levels.

The L5-S1 facet joints show degenerative changes. Also seen is facetal hypertrophy at the L4-L5 level.

There is loss of water content of the lumbar intervertebral discs.

The lumbar vertebral bodies reveal spotty fatty changes suggesting osteoporosis. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
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The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

22.0 mm at L1-L2
20.0 mm at L2-L3
21.0 mm at L3-L4
14.0 mm at L4-L5
15.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of a fracture of the S2/S3 vertebrae as described.