Date : 00.00.00
Name of the Patient : Abc Xyzon Siganplmn / M / 25 yrs.
Referred by : Dr. Abc Xyznshah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since February 0000.
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.
A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac and both the traversing S1 nerve roots at the L5-S1 level. This intervertebral disc shows loss of water content.
There is a posterior disc bulge at the L4-L5 level.
Schmorls nodes are noted in the inferior aspect of the D11 vertebral body and the superior aspect of the S1 vertebral body.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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 S2 level.
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
16.0 mm at L3-L4
15.0 mm at L4-L5
9.0 mm at L5-S1.
The MRI features are suggestive of a postero-central disc herniation with peridiscal osteophytes at the L5-S1 level.