Registration No

1110015019

Patient Name

RISHI KAMAL

Sex / Age

M/026Y

Study Date / Time

12-07-2015
14:48:17

Modality

SR,MR

Referring Physician

DR.MITUL JAIN

MRI LUMBO-SACRAL SPINE WITH WHOLE SPINE SCREENING

MRI of the lumbo-sacral spine was done by acquiring T1 and T2 axial and
sagittal scans subsequent to T2 whole spine screening.
Clinical Profile:
c/o pain radiating to left thigh with tingling numbness
no h/o trauma, fever, hypertension, diabetes mellitus, tuberculosis or
other illness & operation
xray-c-21901
Scan Reveals:
Lumbar vertebrae show normal height, alignment. Normal marrow signal
intensity noted. There are no focal lesions seen.
Discs show normal signal intensity.
Anterior and posterior osteophytes are seen at multiple levels.
Disc desiccation noted at L2-L3,L5-S1 level, appearing hypointense on T2WI.

Diffuse disc bulge noted at L2-L3 level, indenting the anterior thecal sac,
causing left inferior comparmental neural foraminal narrowing without
significant nerve root compression.

Mild disc protrusion noted at L4-L5 level, No neural foraminal narrowing or

nerve root compression.

Large central disc extrusion is noted at L5-S1 with disk space narrowing.
Disk is slightly more accentuated towards left than right resulting in
moderate to severe central canal narrowing and lateral recess narrowing. No
associated neural foramina narrowing.
Normal disc space at all other lumbar vertebral levels.

No significant disc bulge or herniation is seen at any other sacral level.

Facet joints appear normal.
Visualized pre and paravertebral soft tissues are unremarkable.
Cord and conus show normal signal intensity. No intrinsic cord lesions
seen.
Cord ends at D12 level.

T2W sagittal whole spine screening reveals:

There is straightening of the cervical spine.
Cranio-vertebral junction appears normal.
Vertebrae show normal marrow signal intensity and maintained heights. No
vertebral compression or any obvious focal marrow lesion is seen.
Intervertebral discs appear normal.
No osteophytes found at any cervical levels.
Spinal cord and conus appear normal in signal intensity. There is no evidence
of cord edema or myelomalacia. Cervico-medullary junction appears normal.
Visualized pre and paravertebral soft tissues are unremarkable.
IMPRESSION: Study reveals - changes of Lumbar Spondylosis

Diffuse disc bulge at L2-L3 level, indenting the anterior thecal sac,
causing left inferior comparmental neural foraminal narrowing without
significant nerve root compression.

Large central disc extrusion is noted at L5-S1 with disk space

narrowing. There is small protrusion noted at L4-L5. There is posterior
spondylolisthesis of L5 on S1.

Adviced: Clinical Correlation

With regards

Madhuri Avhad,
DMRD