Date : 00.00.00
Name of the Patient : Abc Xyzhan Anlmn / F / 39 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) with paresthesias since 3 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.
A small posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and mild bilateral neural foraminal narrowing. The L4-L5 facet joints show hypertrophic degenerative changes with resultant canal stenosis.
Small right paracentral disc herniations are seen at the L2-L3 and L3-L4 levels and a posterior disc bulge at the L5-S1 level. The lumbar intervertebral discs show loss of water content.
The lumbar facet joints show degenerative changes.
Far lateral (extraforaminal) disc bulges are seen bilaterally at the L4-L5 level and on the right side at the L2-L3, L3-L4 and L5-S1 levels.
The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 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 :
18.0 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 small posterior disc herniation at the L4-L5 level with hypertrophic degenerative changes of the L4-L5 facet joints with resultant canal stenosis.
2. Small right paracentral disc herniations at the L2-L3 and L3-L4 levels and a posterior disc bulge at the L5-S1 level.
3. Degenerative changes of the lumbar facet joints.