Date : 00.00.00
Name of the Patient : Abc XyzAhmed Anlmn / M / 47 yrs.
Referred by : Dr. Abc Xyzsari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 25 days.
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 normal lumbar lordosis and mild retroplacement of the L5 vertebra over the S1 vertebra.
A left paracentral disc extrusion is seen to indent the thecal sac and the traversing left S1 nerve root at the L5-S1 level.
Postero-central disc herniations are seen to indent the thecal sac at the L2-L3 and L4-L5 levels.
A posteriorly bulging disc is noted at the L3-L4 level. Bilateral far lateral (extraforaminal) disc bulges are noted at the L2-L3 and L3-L4 levels.
The L2-L3 to the L5-S1 intervertebral discs show loss of water content.
Anterior disc herniations are noted at the L2-L3 and L3-L4 levels.
A suspicious conjoint nerve root is seen on the right side at the L5 level.
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 L2 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 :
15.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.
The MRI features are suggestive of :
1. A left paracentral disc extrusion indenting the traversing left S1 nerve root at the L5-S1 level.
2. Postero-central disc herniations at the L2-L3 and L4-L5 levels.