Date : 00.00.00
Name of the Patient : Abc Xyz Dalmn / M / 38 yrs.
Referred by : Dr. Abc Xyz Vyas.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 10-12 years which has increased 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.
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
There is a postero-central disc herniation at the L5-S1 level (contained by the posterior longitudinal ligament) with anterior indentation of the thecal sac.
A posterior disc bulge is noted at the L4-L5 level.
Anterior peridiscal osteophytes are seen at the D12-L1 and L1-L2 levels.
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-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 :
17.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
16.0 mm at L4-L5
12.0 mm at L5-S1.
1. A postero-central disc herniation at the L5-S1 level.
2. A posterior disc bulge at the L4-L5 level.