Date : 00.00.00
Name of the Patient : Abc XyzJalmn / M / 52 yrs.
Referred by : Dr. Abc Xyzrekh / Dr. Abc Xyz Sane.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE since 3-4 months.
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 left far lateral disc herniation at the L3-L4 level with indentation upon the extraforaminal portion of the left L3 nerve root.
Small postero-central disc bulge is seen at the L4-L5 level and a postero-central disc protrusion at the L5-S1 level. The L2-L3, L3-L4 and L4-L5 intervertebral discs show loss of water content.
The L5-S1 facet joints bilaterally show 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 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
13.0 mm at L4-L5
14.0 mm at L5-S1.
The MRI features are suggestive of a left far lateral disc herniation at the L3-L4 level with indentation upon the extraforaminal portion of the left L3 nerve root.