TELPHONE NUMBER: (046) 424-0888 LOC.

117

GENTRIMED IMAGING CENTER

Date Taken: May 2, 2022
Patient Name Patient ID Room No. Sex Birth date/Age ___
DE MESA, EDUARDO G 22MRI-0081 OPD M 12-07-1955/ 66
Referring Physician: DR. OLIMPIO, FRANCISCO
Examination: LS PLAIN

MAGNETIC RESONANCE IMAGING REPORT

Technique: Multiplanar and multisequential MR images of the lumbar spine were obtained without intravenous
contrast.

Findings:
L5 is sacralized. Lumbar curvature is maintained. No fracture or subluxation noted. No abnormal marrow signal
detected. Spurs line the lumbar vertebral bodies. Marrow edema seen in the inferior endplate of L4.

There is varying loss of the normal T2W bright disk signals at L2-L3, L3-L4, L4-L5 L5-S1. The rest of the disk signals
and heights are maintained. Axial images through the disks show the following:

- L2-L3: broad-based posterior disk bulge resulting to thecal sac indentation without neural canal
narrowing.
- L3-L4: diffuse disk bulge resulting to thecal sac indentation and mild bilateral neural foramina narrowing.
- L4-L5: diffuse disk bulge with central disk protrusion resulting to central canal stenosis and moderate
bilateral neural foramina narrowing.
- L5-S1: broad-based posterior disk bulge resulting to thecal sac indentation and mild bilateral neural
foraminal narrowing.
- The rest of the intervertebral disks are within normal confines. Corresponding neural foramina are intact.

Conus medullaris ends at L1. Cauda equina is not thickened. The imaged distal spinal cord shows no abnormal
signals.

The erector spinae and transversospinalis muscles are mildly fatty infiltrated.

IMPRESSION:
- SACRALIZED L5.
- MODIC TYPE 1 CHANGES IN THE INFERIOR ENDPLATE OF L4.
- OSTEODEGENERATIVE CHANGES OF THE LUMBAR SPINE.
- DISK DESICCATION, L2-L3, L3-L4, L4-L5 AND L5-S1.
- MULTILEVEL DISK BULGES RESULTING TO VARYING DEGREES OF CENTRAL AND NEURAL CANAL
NARROWING, MOST SEVERE AT L4-L5 LEVEL.
- ATROPHY OF THE ERECTOR SPINAE AND TRANSVERSOSPINALIS MUSCLES.

PAUL DOMINIC A. AMISTAD MD, DPBR

Radiologist
* The above mentioned report should be correlated with clinical, laboratory and other parameters.
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