Date : 00.00.00
Name of the Patient : Abc Xyz. Raithlmn / M / 34 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) with paresthesias since 1 1/4 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 mild retroplacement of the L5 vertebra over the S1 vertebra.
There is a postero-central disc herniation with peridiscal osteophyte at the L5-S1 level. This intervertebral disc shows loss of water content.
Mild posterior disc bulge is noted at the L4-L5 level.
Mild facetal hypertrophy is noted in the lumbar region.
The lumbar vertebral bodies and the remaining intervertebral discs 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
17.0 mm at L2-L3
16.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.
The MRI features are suggestive of a postero-central disc herniation with peridiscal osteophyte at the L5-S1 level.
As compared to the previous MRI dated 00.00.00, there is no significant change noted.