Date : 00.00.00
Name of the Patient : Abc Xyz Dlmn / F / 35 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radiation of pain 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 mild retroplacement of the L4 vertebra over the L5 vertebra.
Small postero-central and left postero-lateral disc herniations are seen to indent the thecal sac and left neural foramina respectively at the L4-L5 and L5-S1 levels.
There is a mild posterior disc bulge at the D11-D12 level.
The L4-L5 and L5-S1 intervertebral discs show loss of water content.
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 D12-L1 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 :
17.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.
The MRI features are suggestive of :
1. Mild retroplacement of the L4 vertebra over the L5 vertebra.
2. Small postero-central and left postero-lateral disc herniations at the L4-L5 and L5-S1 levels.