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    Spondylitis Case

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    Akshay
    An MRI was performed on a 67-year-old male patient. The MRI revealed degenerative changes including disc desiccation and osteophytes throughout the lumbar spine. At levels L1-L2, L2-L3, and L3-L4, there was partial disc desiccation with mild disc bulges indenting the thecal sac without nerve root compression. Level L4-L5 showed disc desiccation, a diffuse annular bulge and posterior annular fissure indenting the thecal sac and contacting the traversing nerve roots bilaterally, minimally encroaching on the neural foramina without nerve root compression. The conclusions were changes of lumbar spondylosis and disc

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    Spondylitis Case

    Uploaded by

    Akshay
    9 views2 pages
    An MRI was performed on a 67-year-old male patient. The MRI revealed degenerative changes including disc desiccation and osteophytes throughout the lumbar spine. At levels L1-L2, L2-L3, and L3-L4, there was partial disc desiccation with mild disc bulges indenting the thecal sac without nerve root compression. Level L4-L5 showed disc desiccation, a diffuse annular bulge and posterior annular fissure indenting the thecal sac and contacting the traversing nerve roots bilaterally, minimally encroaching on the neural foramina without nerve root compression. The conclusions were changes of lumbar spondylosis and disc

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    Spondylitis case

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    An MRI was performed on a 67-year-old male patient. The MRI revealed degenerative changes including disc desiccation and osteophytes throughout the lumbar spine. At levels L1-L2, L2-L3, and L3-L4, there was partial disc desiccation with mild disc bulges indenting the thecal sac without nerve root compression. Level L4-L5 showed disc desiccation, a diffuse annular bulge and posterior annular fissure indenting the thecal sac and contacting the traversing nerve roots bilaterally, minimally encroaching on the neural foramina without nerve root compression. The conclusions were changes of lumbar spondylosis and disc

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    © All Rights Reserved
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    9 views2 pages

    Spondylitis Case

    Uploaded by

    Akshay
    An MRI was performed on a 67-year-old male patient. The MRI revealed degenerative changes including disc desiccation and osteophytes throughout the lumbar spine. At levels L1-L2, L2-L3, and L3-L4, there was partial disc desiccation with mild disc bulges indenting the thecal sac without nerve root compression. Level L4-L5 showed disc desiccation, a diffuse annular bulge and posterior annular fissure indenting the thecal sac and contacting the traversing nerve roots bilaterally, minimally encroaching on the neural foramina without nerve root compression. The conclusions were changes of lumbar spondylosis and disc

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    PATIENT NAME : MR JAGNARAYAN SINGH DATE:19/03/2024

    AGE / GENDER : 67 YEARS / MALE UID:97712-001


    REF DOCTOR/ HOSPITAL : GURU NANAK HOSPITAL

    MRI LUMBO-SACRAL SPINE WITH SCREENING WHOLE SPINE

    Multiplanar MRI of lumbar & sacral spine was performed using T1 & T2 weighted turbo
    spin echo sequences & MR Myelogram.

    Observations:

    The lumbar vertebrae have been counted craniocaudally from C2 level with L5 being
    labeled as the last unfused vertebra.

    Attenuation of lumbar lordosis is noted, however alignment is maintained

    Degenerative changes are seen in the form of multilevel disc desiccation, marginal
    osteophytes, ligamentum flavum thickening and facetal arthropathy.

    The vertebral bodies are normal in height and signal intensity. Their posterior elements
    are normal.

    Partial disc desiccation with mild posterior disc bulge is noted at L1-L2, L2-L3, L3-L4
    levels indenting anterior thecal sac without foraminal narrowing or nerve root
    compression. Early facetal arthropathy is seen at these levels.

    Disc desiccation, diffuse annular disc bulge with posterior annular fissure is seen at L4-
    L5 level indenting anterior thecal sac contacting bilateral traversing nerve roots
    minimally encroaching into bilateral neural foramina without exiting nerve root
    compression. Mild ligamentum flavum hypertrophy & facetal arthropathy is seen at this
    level.

    The conus is normal in signal and morphology.

    There is no abnormal pre or paraspinal soft tissue.

    Screening sequence through sacroiliac joints: reveal no periarticular marrow edema


    or joint effusion.

    Few small cortical cysts are seen in bilateral kidneys.

    Screening through cervicodorsal spine: Mild posterior disc bulge with peridiscal
    osteophytes noted at C4-C5, C5-C6, C6-C7 level indenting anterior subarachnoid space
    without cord compression.

    Investigations have their limit solitary radiological tests never confirm final diagnosis they only help in diagnosing the disease in
    correlation to clinical symptoms and other tests. Please correlate clinically

    PULSE HITECH MEDICAL CENTER PVT LTD


    8, KANAKIA ZILLION, LBS MARG, NEAR KURLA BUS DEPO, KURLA WEST, MUMBAI-400070
    Conclusion:

     Changes of lumbar spondylosis as described above.

     Partial disc desiccation with mild posterior disc bulge at L1-L2, L2-L3, L3-L4
    levels indenting anterior thecal sac without foraminal narrowing or nerve root
    compression. Early facetal arthropathy is seen at these levels.

     Disc desiccation, diffuse annular disc bulge with posterior annular fissure at L4-
    L5 level indenting anterior thecal sac contacting bilateral traversing nerve roots
    minimally encroaching into bilateral neural foramina without exiting nerve root
    compression. Mild ligamentum flavum hypertrophy & facetal arthropathy is seen
    at this level.

    Thanks for the reference.

    Dr. Alok Singhai Dr. Shenil Trivedi Dr. Rutwik Ketkar Dr. Aakash Vaswani
    Consultant Radiologist Consultant Radiologist Consultant Radiologist Consultant Radiologist

    Investigations have their limit solitary radiological tests never confirm final diagnosis they only help in diagnosing the disease in
    correlation to clinical symptoms and other tests. Please correlate clinically

    PULSE HITECH MEDICAL CENTER PVT LTD


    8, KANAKIA ZILLION, LBS MARG, NEAR KURLA BUS DEPO, KURLA WEST, MUMBAI-400070

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