Date : 00.00.00
Name of the Patient : Abc XyzDasulmn / M / 40 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE (right more than left).
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 loss of water content of all the lumbar intervertebral discs except the L1-L2 disc.
There is a posteriorly bulging disc with a posterior peridiscal osteophyte at the L5-S1 level with slight right neural foraminal narrowing.
A small right far lateral disc herniation is noted at the L3-L4 level, indenting the extraforaminal segment of the right L3 nerve root.
Small posterior disc bulges are seen at the L2-L3 and L4-L5 levels. The L3-L4 and L4-L5 facet joints show mild degenerative changes.
Type II degenerative changes are noted in the antero-superior portion of the L5 vertebral body.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 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 :
14.0 mm at L1-L2
12.0 mm at L2-L3
11.0 mm at L3-L4
11.0 mm at L4-L5
8.0 mm at L5-S1.
1. A posteriorly bulging disc with a posterior peridiscal osteophyte at the L5-S1 level.
2. A small right far lateral disc herniation at the L3-L4 level, indenting the extraforaminal segment of the right L3 nerve root.