Date : 00.00.00
Name of the Patient : Abc XyzManlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O radicular pain to the RLE.
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.
FEW IMAGES SHOW PATIENT MOTION.
A right paracentral disc extrusion with small peridiscal osteophytes is seen to indent the thecal sac and the traversing right S1 nerve root at the L5-S1 level. A disc portion is seen to lie within the right lateral recess of the S1 vertebra.
Small left postero-lateral and far lateral disc herniations are noted at the L4-L5 level. There is mild left neural foraminal narrowing at this level.
A posterior disc bulge is seen to indent the thecal sac at the L4-L5 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 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 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
19.0 mm at L2-L3
18.0 mm at L3-L4
14.0 mm at L4-L5
11.0 mm at L5-S1.
The MRI features are suggestive of :
1. A right paracentral disc extrusion with small peridiscal osteophytes at the L5-S1 level with a disc portion lying within the right lateral recess of the S1 vertebra with indentation upon the traversing right S1 nerve root.
2. Small left postero-lateral and far lateral disc herniations at the L4-L5 level.