Date : 00.00.00
Name of the Patient : Abc Xyzna Sarglmn / F / 30 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 4 years 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 postero-central disc herniation with peridiscal osteophyte at the L4-L5 level with anterior compression of the thecal sac and mild left neural foraminal narrowing. There is inferior migration of the disc fragment which is seen to lie posterior to the L5 vertebral body, impinging the right L5 nerve root.
Small postero-central disc herniation is seen at the L3-L4 level with anterior indentation of the thecal sac. The L3-L4 and L4-L5 intervertebral discs show loss of water content.
Anterior peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels.
The facet joints in the lower lumbar region appear slightly hypertrophied.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 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 :
17.0 mm at L1-L2
15.0 mm at L2-L3
12.0 mm at L3-L4
8.0 mm at L4-L5
10.0 mm at L5-S1.
1. A postero-central disc herniation with peridiscal osteophyte at the L4-L5 level with inferior migration of the disc fragment posterior to the L5 vertebral body, impinging the right L5 nerve root.
2. Small postero-central disc herniation at the L3-L4 level.