Date : 00.00.00
Name of the Patient : Abc Xyzau N. Deshlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 2 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 L4-L5 and L5-S1 intervertebral discs.
A small, postero-central disc herniation is noted at the L5-S1 level with ventral indentation of the thecal sac.
A slightly larger, postero-central and left paracentral disc herniation with a small peridiscal osteophyte is noted at the L4-L5 level, indenting the dural theca anteriorly.
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 L1 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
19.0 mm at L2-L3
19.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
1. A small, postero-central disc herniation at the L5-S1 level.
2. A postero-central and left paracentral disc herniation with a small peridiscal osteophyte at the L4-L5 level.