Date : 00.00.00
Name of the Patient : Abc XyzMandlmn / M / 41 yrs.
Referred by : Dr. Abc Xyztrak.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
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.
The L4-L5 and L5-S1 intervertebral discs show loss of water content and the L4-L5 disc appears reduced in height.
A postero-central disc herniation is seen to indent the thecal sac at the L5-S1 level.
Postero-central and left postero-lateral disc protrusions are seen to indent the thecal sac and narrow the left neural foramen respectively at the L4-L5 level. The left L4-L5 facet joint shows degenerative changes.
The lumbar vertebral bodies and the remaining intervertebral discs 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-L2 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
15.0 mm at L4-L5
11.0 mm at L5-S1.
The MRI features are suggestive of :
1. A postero-central disc herniation at the L5-S1 level.
2. Postero-central and left postero-lateral disc protrusions at the L4-L5 level.
3. Facetal arthropathy at the L4-L5 level on the left side.