Date : 00.00.00
Name of the Patient : Abc Xyzai Kalmn / F / 40 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 2 years.
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 L2-L3 and L5-S1 intervertebral discs.
There is slight retroplacement of the L3 over the L4 vertebrae.
There is a postero-central disc herniation at the L5-S1 level.
A posteriorly herniated disc with peridiscal osteophyte is noted at the L4-L5 level with bilateral neural foraminal narrowing.
Small postero-central protruded discs are noted at the L3-L4 and L2-L3 levels.
Type II degenerative marrow changes are noted adjacent to the L4-L5 and L5-S1 intervertebral discs. Hemangiomas with fat content are noted in the L1 and D11 vertebral bodies.
The rest of 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-L2 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 :
15.0 mm at L1-L2
13.0 mm at L2-L3
14.0 mm at L3-L4
13.0 mm at L4-L5
11.0 mm at L5-S1.
1. A postero-central disc herniation at the L5-S1 level.
2. A posteriorly herniated disc with peridiscal osteophyte at the L4-L5 level with bilateral neural foraminal narrowing.
3. Small postero-central protruded discs at the L3-L4 and L2-L3 levels.