Date : 00.00.00
Name of the Patient : Abc Xyza Maklmn / F / 50 yrs.
Referred by : Dr. Abc Xyzvathe.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE (left more than right) with numbness since 3 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.
FEW IMAGES SHOW PATIENT MOTION.
A right far lateral disc bulge is seen at the L4-L5 level with indentation upon the extraforaminal portion of the exiting right L4 nerve root.
Small posterior disc bulges are noted at the L3-L4, L4-L5 and L5-S1 levels.
The lumbar intervertebral discs show loss of water content.
The lumbar facet joints show mild degenerative changes.
The lumbar vertebral bodies reveal normal signal intensity. 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-S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
12.0 mm at L5-S1.
1. A right far lateral disc bulge at the L4-L5 level indenting the extraforaminal portion of the exiting right L4 nerve root.
2. Small posterior disc bulges at the L3-L4, L4-L5 and L5-S1 levels.
3. Mild facetal arthropathy in the lumbar region.