Name of the Patient : Abc XyzKhlmn / M / 50 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE.
H/O fall prior to this.
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 right postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with antero-lateral indentation of the thecal sac, right neural foraminal narrowing and indentation on the traversing right L5 nerve root.
Small postero-central disc herniations are seen at the L3-L4 and L5-S1 levels with anterior indentation of the thecal sac at the L3-L4 level. The L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.
The L2-L3, L3-L4 and L5-S1 facet joints show mild hypertrophy.
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 S3 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
13.0 mm at L4-L5
14.0 mm at L5-S1.
1. A right postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with indentation on the right L5 nerve root.
2. Postero-central disc herniations at the L3-L4 and L5-S1 levels.
3. Facetal hypertrophy at the L2-L3, L3-L4 and L5-S1 levels.