Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 29 yrs.
Referred by : Dr. Abc Xyz Sonawane.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE and 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 loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is a left paracentral disc herniation with peridiscal osteophyte at the L4-L5 level, indenting the traversing left L5 nerve root. Slight facetal hypertrophy is noted at this level.
A small left paracentral disc herniation is noted at the L3-L4 level, indenting the left L4 nerve root.
A small posterior disc bulge is noted at the L5-S1 level.
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 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
18.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
12.0 mm at L5-S1.
1. A left paracentral disc herniation with peridiscal osteophyte at the L4-L5 level, indenting the traversing left L5 nerve root.
2. A small left paracentral disc herniation at the L3-L4 level, indenting the left L4 nerve root.