Date : 00.00.00
Name of the Patient : Abc Xyzrth Jlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzhatt / Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) since 3 weeks.
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 loss of water content of the L5-S1 intervertebral disc.
There is a left paracentral disc herniation with peridiscal osteophytes at the L5-S1 level indenting the traversing left S1 nerve root. Slight inferior migration of the disc fragment into the left lateral recess of S1 is noted.
A small posterior disc bulge is noted at the L4-L5 level.
The pedicles of the L4 and L5 vertebrae appear congenitally short in their antero-posterior dimensions. Slight facetal hypertrophy is also noted at these levels with a resultant tight lumbar canal. The remaining lumbar facet joints also show hypertrophic changes.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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 :
8.0 mm at L1-L2
12.0 mm at L2-L3
14.0 mm at L3-L4
15.0 mm at L4-L5
15.0 mm at L5-S1.
1. A left paracentral disc herniation with peridiscal osteophytes at the L5-S1 level indenting the traversing left S1 nerve root with slight inferior migration of the disc fragment into the left lateral recess of S1.
2. A small posterior disc bulge at the L4-L5 level.
3. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels with a resultant tight lumbar canal.