Date : 00.00.00
Name of the Patient : Abc XyzManelmn / F / 34 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE since 5-6 days.
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 sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film.
There is loss of water content of the L4-L5 intervertebral disc.
There is a fairly large postero-central and right paracentral extruded disc with peridiscal osteophytes at the L4-L5 level. Inferior migration of the disc fragment is noted with indentation on the traversing right L5 nerve root.
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 level and the thecal sac terminates at the L5 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
18.0 mm at L2-L3
15.0 mm at L3-L4
6.0 mm at L4-L5
8.0 mm at L5-S1.
1. Sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film.
2. A fairly large postero-central and right paracentral extruded disc with peridiscal osteophytes at the L4-L5 level with inferior migration of the disc fragment indenting the traversing right L5 nerve root. A tight central canal is seen at this level.