Date : 00.00.00
Name of the Patient : Abc Xyza N. Salmn / F / 56 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 4-5 months which has increased since 15-20 days.
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.
The lumbar intervertebral discs show loss of water content.
There is a large left paracentral disc extrusion indenting the traversing left S1 nerve root at the L5-S1 level.
A posterior disc bulge is seen at the L4-L5 level.
Schmorls node is noted at the L2 level.
Type II degenerative changes are noted in the antero-superior portion of the L4 and L5 vertebral bodies. The lumbar facet joints show mild degenerative changes.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the L5-S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
13.0 mm at L1-L2
12.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
7.0 mm at L5-S1.
A left paracentral disc extrusion at the L5-S1 level indenting the traversing left S1 nerve root.