Date : 00.00.00
Name of the Patient : Abc XyzMilmn / F / 50 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 1 year.
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 and loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is a postero-central disc herniation at the L4-L5 level with anterior indentation of the thecal sac and mild bilateral neural foraminal narrowing. There is resultant canal stenosis. Small disc portion is seen to migrate inferiorly.
There is a small postero-central disc herniation at the L5-S1 level with mild indentation upon the S1 nerve roots bilaterally.
Small postero-central disc herniation is seen at the L3-L4 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
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The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
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
12.0 mm at L3-L4
7.0 mm at L4-L5
7.0 mm at L5-S1.
Multiple paraaortic, interaorticocaval and retrocaval lymphnodes are noted.
The MRI features are suggestive of :
1. A postero-central disc herniation at the L4-L5 level with resultant canal stenosis.
2. A small postero-central disc herniation at the L5-S1 level with mild indentation upon the S1 nerve roots bilaterally.
3. Small postero-central disc herniation at the L3-L4 level.
4. Multiple paraaortic, interaorticocaval and retrocaval lymphnodes noted.