Date : 00.00.00
Name of the Patient : Abc Xyzdra Rlmn / M / 43 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with inability to sit since 00.00.00.
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.
The L2-L3, L3-L4 and L5-S1 intervertebral discs show loss of water content. Multiple Schmorls nodes are noted in the lumbar region.
A small left paracentral disc herniation is seen to indent the traversing left S1 nerve root at the L5-S1 level.
A small postero-central disc herniation is seen to indent the thecal sac at the L4-L5 level.
A left paracentral disc extrusion is seen to indent the thecal sac at the L3-L4 level with a small disc portion lying within the left lateral epidural space at this level.
A small posterior disc bulge is noted at the L2-L3 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.
The conus medullaris terminates at the D12-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 :
17.0 mm at L1-L2
15.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.
The MRI features are suggestive of :
1. A small left paracentral disc herniation indenting the traversing left S1 nerve root at the L5-S1 level.
2. A small postero-central disc herniation at the L4-L5 level.
3. A left paracentral disc extrusion at the L3-L4 level with a small disc portion lying within the left lateral epidural space at this level.