Date : 00.00.00
Name of the Patient : Abc XyzK. Jalmn / M / 36 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 2 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.
There is partial sacralization of the L5 vertebra on the left.
There is loss of water content of the L4-L5 intervertebral disc.
There is a fairly large, left paracentral extruded disc at the L4-L5 level with left neural foraminal narrowing. Inferior migration of the disc fragment is noted in the left lateral recess of L5, indenting the traversing left L5 nerve root. Slight facetal hypertrophy is also noted at this level.
A small posterior disc bulge is noted at the L3-L4 level with slight factal hypertrophy at that level.
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 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 :
15.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.
1. Partial sacralization of the L5 vertebra on the left.
2. A fairly large, left paracentral extruded disc at the L4-L5 level with inferior migration of the disc fragment in the left lateral recess of L5, indenting the traversing left L5 nerve root. Slight facetal hypertrophy is also noted at this level with canal stenosis.