Date : 00.00.00
Name of the Patient : Abc Xyzh B. Klmn / M / 30 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 2 months.
H/O fall prior to this.
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 L5-S1 intervertebral disc.
There is a posterior disc herniation at the L5-S1 level with mild indentation and posterior displacement on the S1 nerve roots. There is an extruded disc portion seen to migrate inferiorly behind the L5 vertebra with impingement of the traversing left S1 nerve root.
Postero-central disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac.
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 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 :
15.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
8.0 mm at L5-S1.
1. A posterior disc herniation at the L5-S1 level with posterior displacement and indentation on the S1 nerve roots and inferior migration of the extruded disc posterior to the S1 vertebral body impinging the traversing left S1 nerve root.
2. Postero-central disc herniation at the L4-L5 level.