Date : 00.00.00
Name of the Patient : Abc XyzMlmn / M / 34 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE with paresthesias since 1 month.
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 fairly large posterior and right paracentral extruded disc at the L5-S1 level with posterior displacement of the thecal sac and the right S1 nerve root. There is rupture of the posterior longitudinal ligament. Fairly large posterior peridiscal osteophytes are noted at this level.
A small posterior disc bulge is seen at the L4-L5 level.
An anterior disc herniation is noted at the L2-L3 level. This disc shows slight loss of water content. Type II degenerative changes are seen in the antero-superior portion of the L3 vertebral body adjacent to the L2-L3 disc.
The rest of the lumbar vertebral bodies and 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 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
17.0 mm at L3-L4
17.0 mm at L4-L5
4.0 mm at L5-S1.
The MRI features are suggestive of a fairly large posterior and right paracentral extruded disc with peridiscal osteophytes at the L5-S1 level with posterior displacement of the thecal sac and the right S1 nerve root.