Date : 00.00.00
Name of the Patient : Abc Xyzsha Shlmn / F / 56 yrs.
Referred by : Dr. Abc Xyzndesha.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) since 2 years which has increased 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.
There is loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is a postero-central disc herniation at the L5-S1 level with slight superior migration of the disc fragment with ventral displacement of the thecal sac.
Small posterior disc bulge with peridiscal osteophyte is noted at the L4-L5 level with probable slight indentation on the traversing left L5 nerve root.
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 S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
1. A postero-central disc herniation at the L5-S1 level with slight superior migration of the disc fragment.
2. Small posterior disc bulge with peridiscal osteophytes at the L4-L5 level with probable slight indentation on the traversing left L5 nerve root.