Date : 00.00.00
Name of the Patient : Abc Xyzet Powlmn / M / 23 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache (off and on) since 1 month.
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 mild retroplacement of the L4 vertebra over the L5 vertebra.
A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac and both the traversing L5 nerve roots at the L4-L5 level. Slight inferior migration of this disc is also noted. This intervertebral disc shows loss of water content.
A small posterior disc herniation is seen to indent both the traversing S1 nerve roots at the L5-S1 level. This intervertebral disc shows mild loss of water content.
Mild far lateral (extraforaminal) disc bulges are seen bilaterally at the L3-L4, L4-L5 and L5-S1 levels.
There is mild facetal hypertrophy at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of 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-S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
14.0 mm at L1-L2
13.0 mm at L2-L3
12.0 mm at L3-L4
9.0 mm at L4-L5
10.0 mm at L5-S1.
1. A postero-central disc herniation with peridiscal osteophytes at the L4-L5 level.
2. A small posterior disc herniation at the L5-S1 level.