Name of the Patient : Abc Xyzalmn / M / 29 yrs.
Referred by : Dr. Abc Xyzathak.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 1 year.
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 intervertebral disc.
There is a right paracentral disc herniation at the L4-L5 level indenting the traversing right L5 nerve root. Slight inferior migration of the disc fragment is noted.
A minimal posterior disc bulge is noted at the L3-L4 level.
Slight facetal hypertrophy is noted at the L2-L3, L3-L4 and L4-L5 levels.
Focal fatty marrow changes are noted in the L4 vertebral body.
The rest of 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-L2 level and the thecal sac terminates at the S1-S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
11.0 mm at L4-L5
13.0 mm at L5-S1.
1. Degenerated L4-L5 disc with a right paracentral disc herniation indenting the traversing right L5 nerve root at that level.
2. Slight facetal hypertrophy at the L2-L3, L3-L4 and L4-L5 levels.