Date : 00.00.00
Name of the Patient : Abc Xyzh H. Kalmn / M / 20 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzarikh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O pain in the left paraspinal region following lifting of heavy weight in gym.
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 a large, left paracentral disc extrusion at the L5-S1 level with antero-lateral compression of the thecal sac and indentation upon the left S1 nerve root. There is slight inferior migration of the disc into the left lateral recess of S1 vertebra. Posterior peridiscal osteophytes are also noted at this level. This disc shows loss of water content.
Small posterior peridiscal osteophytes are noted at the D12-L1 level. Schmorls nodes are seen in the dorso-lumbar region.
The L4-L5 facet joints bilaterally show mild degenerative change.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of 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 :
14.0 mm at L1-L2
14.0 mm at L2-L3
16.0 mm at L3-L4
16.0 mm at L4-L5
7.0 mm at L5-S1.
A large, left paracentral disc extrusion with posterior peridiscal osteophytes at the L5-S1 level with indentation upon the left S1 nerve root. There is slight inferior migration of the disc into the left lateral recess of S1 vertebra.