Date : 00.00.00
Name of the Patient : Abc Xyzra Upadlmn / M / 27 yrs.
Referred by : Dr. Abc Xyzingh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 6 months.
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 water content of the L5-S1 intervertebral disc.
There is mild retroplacement of the L5 over S1 vertebra.
There is a left paracentral disc herniation at the L5-S1 level with small peridiscal osteophytes with minimal indentation on the traversing left S1 nerve root. A left far lateral disc herniation is also noted at this level, indenting the extraforaminal segment of the left L5 nerve root.
A probable right sided conjoint nerve root is noted at the S1-S2 level.
A small posterior disc bulge is identified at the L4-L5 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 L2 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 :
20.0 mm at L1-L2
20.0 mm at L2-L3
21.0 mm at L3-L4
17.0 mm at L4-L5
18.0 mm at L5-S1.
Degenerated L5-S1 intervertebral disc with a left paracentral disc herniation minimally indenting the traversing left S1 nerve root with a left far lateral disc herniation indenting the extraforaminal segment of the left L5 nerve root at this level.