Date : 00.00.00
Name of the Patient : Abc Xyzp Halmn / M / 31 yrs.
Referred by : Dr. Abc Xyz Khatri / Dr. Abc Xyzhashur.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE since 21 days.
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.
3 mm thick T1 Weighted axial images through the L5-S1 level.
There is slight retrolisthesis of the L5 over the S1 vertebra.
There is a postero-central disc herniation with peridiscal osteophyte at the L5-S1 level with anterior indentation of the thecal sac and mild left neural foraminal narrowing. The L5-S1 disc is dessicated. There is mild ligamentum flavum hypertrophy at the L5-S1 level.
The L3-L4 intervertebral disc shows mild loss of water content.
The lumbar vertebral bodies and the remaining intervertebral discs show normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L2 level and the thecal sac terminates at the S3 level.
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The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
15.0 mm at L4-L5
14.0 mm at L5-S1.
The S. I. joints were screened with 4 mm thick T1 Weighted coronal images and do not reveal any diagnostic feature of note.
1. Slight retrolisthesis of the L5 over the S1 vertebra.
2. A postero-central disc herniation with peridiscal osteophyte at the L5-S1 level.