Date : 00.00.00
Name of the Patient : Abc Xyz Sarvlmn / M / 41 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 1 month radiating to the LLE with paresthesias.
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 posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac and left neural foraminal narrowing. A small posterior peridiscal osteophyte is also noted at this level.
A Schmorls node is seen in the inferior margin of the D11 vertebral body and along the superior margin of L2. The L3-L4 intervertebral disc shows slight loss of water content.
A hemangioma with fatty content is noted in the L3 vertebral body.
The rest of 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 S1 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
18.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.
The MRI features are suggestive of a posterior disc herniation with a small posterior peridiscal osteophyte at the L4-L5 level.