Date : 00.00.00
Name of the Patient : Abc Xyz U. lmn / F / 31 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE 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.
There is a small postero-central disc herniation indenting the thecal sac at the L5-S1 level
A small posterior disc bulge is noted at the L4-L5 level.
Mild facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels. Mild ligamentum flavum hypertrophy is seen at the L4-L5 and L5 levels.
The lumbar intervertebral discs show mild loss of water content.
The lumbar vertebral bodies 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 :
19.0 mm at L1-L2
19.0 mm at L2-L3
19.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.
The MRI features are suggestive of :
1. A small postero-central disc herniation at the L5-S1 level
2. A small posterior disc bulge at the L4-L5 level.