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Lumbar spine disc bulge | disc Herniation MRI spine #mrispine #discbulge #backache

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23 COMMENTS

  1. Lumbar lordosis is maintained.

    Vertebral body height, alignment and marrow signal intensity appears unremarkable. Marginal osteophytic changes are seen at few levels. Disc desiccation from L3-L4 to L5-S1 level with reduced disc height at L5-S1 level.

    Mild generalized disc bulge with left foraminal disc prominence at L3-L4 level is causing indentation over left exiting L3 nerve root.

    Moderate generalized disc bulge with posterior-right posterolateral disc prominence and moderate bilateral facet hypertrophy /ligamentum flavum thickening at L4-L5 level is causing indentation over bilateral traversing L5 nerve roots and indentation over right exiting L4 nerve root.

    Moderate generalized disc bulge with postero-central disc prominence and bilateral facet hypertrophy/ligamentum flavum thickening at L5-S1 level is causing indentation over bilateral traversing S1 nerve roots and subtle impingement over bilateral exiting L5 nerve roots.

    No obvious disc bulge/protrusion seen at any other level.

    Rest of the facet joints and ligamentum flavum are unremarkable.

    Rest of the central canal and neural foramina are adequate.

    Conus medullaris and rest of the cauda equina nerve roots are normal.

    Anteroposterior canal diameter as follows:

    L1/2: 15.0 mm, L2/3: 14.0mm, L3/4: 13.0 mm, L4/5: 10.0 mm, L5/S1: 10.0 mm.

    No abnormal pre-or paravertebral soft tissue seen. Bilateral visualised sacroiliac joints are unremarkable.

    IMPRESSION:

    => Mild generalized disc bulge with left foraminal disc prominence at L3-L4 level is causing indentation over left exiting L3 nerve root.

    => Moderate generalized disc bulge with posterior-right posterolateral disc prominence and moderate bilateral facet hypertrophy/ ligamentum flavum thickening at L4-L5 level is causing indentation over bilateral traversing L5 nerve roots and indentation over right exiting L4 nerve root.

    Moderate generalized disc bulge with postero-central disc prominence and bilateral facet hypertrophy/ligamentum flavum thickening at L5-S1 level is causing indentation over bilateral traversing S1 nerve roots and subtle impingement over bilateral exiting L5 nerve roots

    Sarita devi – age 54- female

    Koi solution batayie sir

  2. I am suffering from this problem! What can I do now?
    MRI EXAMINATION OF THE LUMBO-SACRAL SPINE:

    Clinical Data: LBP
    Technique: Sagittal T1, T2, and STIR, Axial T2 WI, No IV contrast was given
    Findings:
    -Preserved lumbar lordotic curvature.
    -Normal diameters of the bony lumbar spinal canal.

    -L3/4 and L4/5 decrease disc height and T2 Hydration signal

    -L3/4 Central and right para-median posterior disc protrusion effacing the ventral aspect of the dural sac with no significant interval changes

    -L5/S1 posterior diffuse disc bulge along with central and left sub-articular broad based disc protrusion effacing the ventral aspect of the dural sac and encroaching upon left traversing nerve root as well as the inferior aspect of the both exiting neural foramina more at left side.

    -Normal MRI appearance of the conus medullaris and cauda equina nerve roots.

    -Normal marrow signal of the imaged vertebrae. Small S1 vertebral haemangioma

    -No paraspinal signal abnormalities.
    Opinion :
    -L3/4 and L5/S1 Disc lesions as described.

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