Date : 00.00.00
Name of the Patient : Abc Xyz K. Plmn / F / 47 yrs.
Referred by : Dr. Abc Xyz. Chaturvedi.
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 normal lumbar lordosis.
There is a postero-central disc herniation with peridiscal osteophyte at the L5-S1 level with anterior indentation of the thecal sac. A small disc portion is seen to migrate inferiorly behind the S1 vertebral body, indenting the S1 nerve roots bilaterally.
A postero-central disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac.
Anterior disc herniations are noted at the L3-L4, L4-L5 and L5-S1 levels.
The L1-L2, L4-L5 and L5-S1 intervertebral discs show loss of water content.
Focal fatty changes are seen in the lower lumbar vertebrae.
The rest of 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.
- 2 - scan-00007
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 :
18.0 mm at L1-L2
18.0 mm at L2-L3
15.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.
1. A postero-central disc herniation with peridiscal osteophyte at the L5-S1 level with a small disc portion seen to migrate inferiorly behind the S1 vertebral body.
2. A postero-central disc herniation at the L4-L5 level.