Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 26 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
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.
There is loss of normal lumbar lordosis.
A small right paracentral disc herniation with small peridiscal osteophytes is seen to indent the thecal sac at the L4-L5 level. This intervertebral disc shows loss of water content.
A mild posterior disc bulge is noted at the L5-S1 level.
There is mild facetal hypertrophy at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the remaining intervertebral discs show normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
22.0 mm at L1-L2
- 2 -
22.0 mm at L2-L3
19.0 mm at L3-L4
14.0 mm at L4-L5
17.0 mm at L5-S1.
The MRI features are suggestive of a small right paracentral disc herniation with peridiscal osteophytes at the L4-L5 level.