PLAIN MRI STUDY OF THE THORACOLUMBAR SPINE WITH

CERVICAL SPINE SCREENING:

Gross Observations:

The thoracic and lumbar curvature is straightened due to muscle spasm .

Post microdiscectomy status of the L4-L5 disc with bony defect along the left
lamina of L5 vertebra.
No e/o scoliosis/ kyphosis.
The vertebral alignment is normal with no evidence of antero/retrolisthesis.
No evidence of transitional vertebra.

Vertebrae:

The vertebrae show normal marrow signal intensity for the age with mild
degenerative changes in form of marginal osteophytes.
.
The posterior neural arch is normal in morphology and integrity.
The cortical definition of the vertebrae is well preserved with no evidence of
fracture or lytic destruction. No end plate changes.

Study of Thoracic and Lumbar discs are as follows:

Diffuse T1-T2 disc bulge with bilateral ligamentum flavum hypertrophy causing
secondary canal stenosis (3.7 mm) leading to focal compression of the spinal cord
with focal myelomalacic changes . No nerve root compression.

Central disc protrusion of T6-T7 disc indenting thecal sac causing no neural
compression.
Mild T7-T8 disc bulge indenting thecal sac causing no neural compression.
Right paracentral T8-T9 disc protrusion indenting thecal sac causing no neural
compression.
Left paracentral T9-T10 disc protrusion indenting thecal sac causing no neural
compression

Bilateral ligamentum flavum hypertrophy seen at all thoracic intervertebral levels

indenting thecal sac causing no neural compression.

L1-2 level: No disc bulge or prolapse is noted. No canal / neural foraminal

narrowing.Facet joints are normal.

L2-3 level: No disc bulge or prolapse is noted. No canal / neural foraminal

narrowing.Facet joints are normal.

L3-4 level: Mild disc bulge with bilateral ligamentum flava hypertrophy
indenting thecal sac causing no neural compression .Facet joints are normal.
L4-5 level: Diffuse bulge with posterior annular tear indenting thecal sac
causing impingement of bilateral L5 nerve roots .Facet joints are normal.

L5-S1 level: Diffuse disc bulge with bilateral ligamentum hypertrophy indenting
thecal sac causing no neural compression .Facet joints are normal.

Spinal cord is normal in signal intensity.

Normal termination of the cord.
Paravertebral soft tissues are normal.
Screening of the cervical spine reveals spondylotic changes with mild
straightening of the spine due to muscle spasm. Disc dehydration of all cervical
discs is seen. Mild herniation of C2-C3 and C3-C4 discs indenting thecal sac.

IMPRESSION:

Thoracic disc herniation at multiple levels as described, significant at T1-T2 level

leading to secondary canal stenosis (3.7 mm ) resulting in compression of the
cord with focal myelomalacic changes.
Lumbar disc herniations as described.