Date : 00.00.00
Name of the Patient : Abc XyzVinlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 3-4 years which has increased in 5-6 months.
H/O fall many years ago.
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 small posterior disc bulge and bilateral far lateral disc herniations at the L5-S1 level with indentation upon the extraforaminal portion of the L5 nerve roots.
A small posterior disc bulge is seen at the L4-L5 level.
The lumbar facet joints appear hypertrophied.
Anterior disc herniations with anterior peridiscal osteophytes are noted in the dorso-lumbar region.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 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 :
16.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
12.0 mm at L5-S1.
1. A small posterior disc bulge and bilateral far lateral disc herniations at the L5-S1 level with indentation upon the extraforaminal portion of the L5 nerve roots.
2. Facetal hypertrophy in the lumbar region.