Date : 00.00.00
Name of the Patient : Abc Xyzuqeem Anlmn / M / 36 yrs.
Referred by : Dr. Abc Xyzsari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias.
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.
FEW IMAGES SHOW PATIENT MOTION.
There is mild retroplacement of the L5 over the S1 vertebrae.
A large postero-central disc extrusion, more to the right of the midline is seen at the L5-S1 level. A disc portion is seen to lie within the right lateral recess of the S1 vertebra with impingement of the traversing right S1 nerve root. This intervertebral disc is decreased in height and shows loss of water content.
A mild posterior disc bulge is noted at the L4-L5 level.
The L5-S1 facet joints show hypertrophic degenerative changes. The L3-L4 and L4-L5 facet joints show mild degenerative changes.
A Schmorls node is seen at the superior aspect of the L3 vertebral body.
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 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 :
14.0 mm at L1-L2
13.0 mm at L2-L3
13.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.
The MRI features are suggestive of :
1. A large postero-central disc extrusion, more to the right of the midline at the L5-S1 level with a disc portion seen to lie within the right lateral recess of the S1 vertebra with impingement of the traversing right S1 nerve root.
2. Hypertrophic facetal arthropathy at the L5-S1 level.
3. Mild facetal arthropathy at the L3-L4 and L4-L5 levels.