Date : 00.00.00
Name of the Patient : Abc XyzMunglmn / F / 35 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE since 1 month.
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 left postero-lateral disc herniation at the L5-S1 level with mild indentation upon the traversing left S1 nerve root. This intervertebral disc shows loss of water content.
Small posterior disc bulges are seen at the L3-L4 and L4-L5 levels.
Schmorls nodes are noted at the L3-L4 and L4-L5 levels. The rest of the intervertebral disc shows slight loss of water content.
The L3-L4 and L4-L5 facet joints show mild degenerative changes.
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 L1-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 :
18.0 mm at L1-L2
19.0 mm at L2-L3
16.0 mm at L3-L4
15.0 mm at L4-L5
13.0 mm at L5-S1.
The MRI features are suggestive of a left postero-lateral disc herniation at the L5-S1 level with mild indentation upon the traversing left S1 nerve root.