Date : 00.00.00
Name of the Patient : Abc Xyzha Shlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain to the LLE 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.
The lumbar intervertebral discs show slight loss of water content.
A right paracentral disc extrusion is seen to indent the thecal sac at the L1-L2 level. A disc fragment is seen to lie posterior to the L2 vertebral body on the right side.
A posteriorly bulging disc with a right paracentral disc protrusion is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level.
Mild posterior disc bulges are noted at the L3-L4 and L5-S1 levels.
The L3-L4 and L4-L5 facet joints show mild degenerative changes.
Fat is seen within the filum terminale over the L2 to L4 vertebral levels.
The lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and 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 :
17.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
The MRI features are suggestive of :
1. A right paracentral disc extrusion at the L1-L2 level.
2. A posteriorly bulging disc with a right paracentral disc protrusion at the L4-L5 level.