Date : 00.00.00
Name of the Patient : Abc Xyzee Blmn / F / 29 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 1 year.
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 postero-central disc protrusion is seen to indent the thecal sac at the D10-D11 level. This intervertebral disc shows loss of water content.
Posterior disc bulges are noted at the L4-L5 and L5-S1 levels.
The paraspinal muscles on the right side in the lower dorsal and lumbo-sacral regions are seen to be atrophic and show spotty fatty changes.
The lumbar vertebral bodies and the 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 S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
17.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.
1. A postero-central disc protrusion at the D10-D11 level
2. Atrophy of the paraspinal muscles in the lower dorsal and lumbo-sacral regions.