Date : 00.00.00
Name of the Patient : Abc XyzNagalmn / M / 56 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 3 years.
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.
A small left paracentral disc herniation is seen at the L5-S1 level.
A posterior disc bulge is seen to indent the thecal sac at the L4-L5 level. Mild facetal hypertrophy is noted at this level.
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
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 D12-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 :
21.0 mm at L1-L2
20.0 mm at L2-L3
16.0 mm at L3-L4
15.0 mm at L4-L5
13.0 mm at L5-S1.
Screening, T2 Weighted sagittal images of the dorsal spine reveal small posterior peridiscal osteophytes in the middorsal region, with degenerated discs.
The MRI features are suggestive of a small left paracentral disc herniation at the L5-S1 level.