Date : 00.00.00
Name of the Patient : Abc XyzZahid Huslmn / M / 26 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE with paresthesias since 2 years.
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 a postero-central disc herniation with a peridiscal osteophyte at the L5-S1 level with indentation upon the traversing S1 nerve roots. This disc shows loss of water content.
A small posterior disc herniation is seen to indent the traversing L5 nerve roots at the L4-L5 level.
The L4-L5 and L5-S1 facet joints show mild degenerative changes. Facetal hypertrophy is noted at the L2-L3 and L3-L4 levels.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 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
15.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
1. A postero-central disc herniation at the L5-S1 level with indentation upon the traversing S1 nerve roots.
2. A small posterior disc herniation at the L4-L5 level with indentation upon the traversing L5 nerve roots.
3. Mild facetal arthropathy at the L4-L5 and L5-S1 levels.