Date : 00.00.00
Name of the Patient : Abc Xyzo Saklmn / M / 42 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE 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.
There is a large left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with indentation upon the left L5 nerve root. This disc shows loss of water content. Slight inferior migration of the disc fragment is noted.
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 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 :
17.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
14.0 mm at L4-L5
14.0 mm at L5-S1.
The MRI features are suggestive of a large left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level indenting the left L5 nerve root. Slight inferior migration of the disc fragment is noted.