Name of the Patient : Abc Xyza lmn / F / 37 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE.
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 L5-S1 intervertebral disc and slight loss of water content of the L4-L5 intervertebral disc.
There is a posteriorly herniated disc with a peridiscal osteophyte at the L5-S1 level. A sequestered disc fragment is noted in the left lateral recess of S1 indenting the traversing left S1 nerve root (se/im:104/4).
A minimal posterior disc bulge is noted at the L4-L5 level.
Type II degenerative marrow changes are noted adjacent to the L5-S1 disc.
The rest of 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-L2 level and the thecal sac terminates at the S2 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
17.0 mm at L2-L3
17.0 mm at L3-L4
15.0 mm at L4-L5
9.0 mm at L5-S1.
Degenerated L5-S1 disc with a posteriorly herniated disc at this level with a sequestered disc fragment lying in the left lateral recess of S1 indenting the traversing left S1 nerve root.