Date : 00.00.00
Name of the Patient : Abc Xyzumar Slmn / M / 15 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE with swelling over the ankles and knee joints since 1 month.
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 slight loss of water content of the L1-L2, L3-L4 and L5-S1 intervertebral discs.
A small posterior disc herniation is noted at the L4-L5 level.
A right postero-lateral (foraminal) disc herniation with peridiscal osteophytes is noted at the L3-L4 level with right neural foraminal narrowing. There is a posterior disc bulge at the L5-S1 level.
Far lateral (extraforaminal) disc bulges are seen at the L3-L4 level.
Hypertrophic facetal arthropathy is noted at the L5-S1 level on the right and bilaterally at the L3-L4 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal 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 S1 level.
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The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
12.0 mm at L5-S1.
1. A small posterior disc herniation at the L4-L5 level.
2. A right postero-lateral (foraminal) disc herniation with peridiscal
osteophytes at the L3-L4 level.
3. Hypertrophic facetal arthropathy at the L5-S1 level on the right and bilaterally at the L3-L4 level.