Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzaghela.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE.
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 L5 vertebra over the S1 vertebra.
There is evidence of a large left paracentral disc herniation indenting the traversing S1 nerve roots (left more than right) at the L5-S1 level. A disc portion is seen to lie within the left lateral recess of the L5 vertebra.
A mild posterior disc bulge is noted at the L4-L5 level.
The L5-S1 intervertebral disc shows loss of water content. Type II degenerative changes are seen within the S1 vertebral body adjacent to the L5-S1 intervertebral disc.
A Schmorls node with adjacent Type II degenerative changes is seen at the superior aspect of the D12 vertebral body.
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-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
15.0 mm at L2-L3
16.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.
The MRI features are suggestive of a large left paracentral disc herniation indenting the traversing S1 nerve roots (left more than right) at the L5-S1 level. A disc portion is seen to lie within the left lateral recess of the L5 vertebra.