Date : 00.00.00
Name of the Patient : Abc Xyzumar Clmn / M / 21 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 3 months.
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.
Mild posterior disc bulges are seen at the L4-L5 and L5-S1 levels. The facet joints at these levels show degenerative changes.
The L1-L2 intervertebral disc is decreased in height and shows loss of water content.
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.
A probable left sided conjoint nerve root is noted at the L5/S1 level.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1 level.
- 2 -
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
17.0 mm at L2-L3
18.0 mm at L3-L4
16.0 mm at L4-L5
15.0 mm at L5-S1.
The MRI features are suggestive of :
1. Mild posterior disc bulges at the L4-L5 and L5-S1 levels.
2. Facetal arthropathy at the L4-L5 and L5-S1 levels.