A Date : 00.00.00
Name of the Patient : Abc XyzSlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzhry.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 6-7 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 L5-S1 disc.
There is still seen a left postero-lateral (foraminal) disc herniation at the L5-S1 level with left neural foraminal narrowing. Slight hypertrophy of the right facet joint at the L5-S1 level is noted.
A small, posterior disc bulge is seen at the L4-L5 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L2 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 :
17.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
18.0 mm at L5-S1.
1. A left postero-lateral (foraminal) disc herniation at the L5-S1 level with left neural foraminal narrowing.
2. Slight facetal hypertrophy at the L5-S1 level on the right.
As compared to the previous MRI (study no:0000), there is no significant change noted.