Date : 00.00.00
Name of the Patient : Abc Xyz. Molmn / M / 30 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating 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 probable sacralization of the L5 vertebra and the L4 vertebral body is as marked on the film.
There is a postero-central disc herniation, more to the right of the midline with peridiscal osteophytes at the L4-L5 level, indenting the dural theca anteriorly. Minimal indentation on the traversing right L5 nerve root is also noted.
A minimal posterior disc bulge is seen at the L3-L4 level.
The lumbar vertebral bodies and the 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 S1 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
15.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
Screening, T1 Weighted and STIR coronal images of the sacro-iliac joints do not reveal any significant feature of note.
1. Probable sacralization of the L5 vertebra. Please correlate with plain radiographs.
2. A postero-central disc herniation, more to the right of the midline with peridiscal osteophytes at the L4-L5 level, with minimal indentation on the traversing right L5 nerve root.