Date : 00.00.00
Name of the Patient : Abc Xyza Hlmn / F / 52 yrs.
Referred by : Dr. Abc Xyzrdiwalla.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to the RLE with paresthesias.
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
A postero-central disc herniation is seen at the L5-S1 level. This intervertebral disc is dessicated.
A small posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level.
The right L4-L5 facet joint shows degenerative changes.
The rest of the lumbar intervertebral discs show mild loss of water content. A well-circumscribed hyperintensity on all the pulse sequences within the L2 vertebral body may represent a hemangioma with high fat content.
The rest of the lumbar vertebral bodies show normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
- 2 -
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
20.0 mm at L2-L3
18.0 mm at L3-L4
19.0 mm at L4-L5
15.0 mm at L5-S1.
The MRI features are suggestive of :
1. A postero-central disc herniation at the L5-S1 level.
2. A small posterior disc herniation and facetal arthropathy on the right side at the L4-L5 level.