MRI Scan - Dec 2010 - Detailed Report

Mr.Sivakumar (M/37years)
3T MRI – LUMBOSACRAL SPINE
Dec 11th 2010

Sequences
Sagittal - T2,T1
Axial -T2
Coronal -T2FS,T2Neurography
MR Mylogram


Observation:
• Scoliosis visualized with convexity to the right.
• Degenerative changes noted in the form of anterior and posterior osteophytes.
• Diffuse disc bulge with annular tear noted in L1-L2 with right posterocentral herniation causing ventral the cal sac indentation and mild spinal canal stenosis with bilateral neural foramina narrowing (right>left).
• Asymmetrical diffuse disc bulge along with disc extrusion and annular tear noted in L3-L4 with ventral thecal sac obliteration and sever spinal canal stenosis and neural foramina narrowing impinging on bilateral traversing nerve(left>right).
• Asymmetrical diffuse disc bulge with annular tear noted in L4-L5 causing ventral thecal sac obliteration and sever spinal canal stenosis and neural foramina narrowing – impinging on bilateral traversing nerve (left>right).
• Ligamentum flavum hypertrophy visualized in L3-L4 and L4-L5.
• Facet arthrosis with hypertrophy noted in L3-L4 and L4-L5 levels.
• Disc extrusion in L3-L4 andL4-L5 along with inferior migration in L4-L5.
• The vertebral bodies appear normal. No collapse/bone destruction. No spondylolisthesis.
• No evidences of primary canal stenosis.
• Neural arches of the lumbar vertebrae appear normal.
• Rest of the lumbar intervertebral discs appear normal. Disc height is maintained.
• Rest of the neureal foramina apperar normal
• The sagittal diameters of the llumbar spinal canal are as follows (in mm).
o L1-L2 : 11.5MM
o L2-L3 : 15MM
o L3-L4: 6.2MM
o L4-L5 : 7.4MM
o L5-S1 : 10MM
• Conus medullaris and cauda equine nerve roots appear normal.
• Sacroiliac joints appear grossly normal.
• The perivertebral soft tissues are unremarkable.

Impression:
• Scoliosis visualized with convexity to the right.
• Diffuse disc bulge with annular tear in L1-L2 with right posterocentral gerniation causing ventral thecal sac indentation and mild spinal canal stenosis with bilateral neural foramina narrowing(right>left).
• Asymmetrical diffuse disc bulge along with disc extrusion and annular tear in L3-L4 with ventral thecal sac obliteration and severe spinal canal stenosis and neural foramina narrowing – impinging on bilateral traversing nerve (left>right).
• Asymmetrical diffuse disc bulge with annular tear in L4-L5 causing ventral thecal sac obliteration and severe spinal canal stenosis and neural foramina narrowing – impinging on bilateral traversing nerve (left>right).
• Ligamentum flavum hypertrophy and facet arthrosis with hypertrophy visualized in L3-L4 and L4-L5. Disc extrusion inL3-L4 and L4-L5 along with inferior migration in L4-l5.