Sunday, 27 December 2015 16:48

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Date : 00.00.00

Name of the Patient : Abc Xyzedumer lmn / M / 20 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with radiation of pain to BLE with paresthesias.

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 appears to be sacralization of the L5 vertebra and the L4 vertebra is as marked on the film. Please correlate with plain radiographs.

There is mild retroplacement of the L3 vertebra over the L4 vertebra.

A linear hypointensity is seen to course through the left pedicle of the L4 vertebra (? congenital, ? pediculolysis).

A mild posterior disc bulge is noted at the L4-L5 level.

The lumbar vertebral bodies and the 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.

IMPRESSION :

The MRI features are suggestive of :

1. Probable sacralization of the L5 vertebra. Please correlate with plain radiographs.

2. A linear hypointensity in the left pedicle of the L4 vertebra ? congenital, ? pediculolysis.






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