Date : 00.00.00
Name of the Patient : Abc Xyz Kalmn / M / 35 yrs.
Referred by : Dr. Abc Xyzl.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) with tingling 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 a posterior disc bulge at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. Mild facetal arthropathy is noted at this level. The L4-L5 disc shows slight loss of water content.
A small postero-central disc protrusion is seen at the L5-S1 level.
A small right postero-lateral disc bulge is noted at the L3-L4 level.
The pedicles of the lumbar vertebrae are congenitally short in their antero-posterior dimensions.
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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.
1. A posterior disc bulge at the L4-L5 level with mild facetal arthropathy at this level.
2. A small postero-central disc protrusion at the L5-S1 level.
3. A small right postero-lateral disc bulge at the L3-L4 level.
4. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.