Name of the Patient : Abc Xyz lmn / M / 28 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache on the right side on movements.
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 and reduction in height of the L5-S1 intervertebral disc.
There is a fairly large, posterior and left paracentral disc herniation at the L5-S1 level with ventral indentation of the thecal sac and displacement of both the S1 nerve roots, left more than the right. Small peridiscal osteophytes are also seen at this level.
There is a small posterior disc herniation at the L4-L5 level with ventral indentation of the thecal sac.
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 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 :
20.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.
The sacro-iliac joints were screened with 6 mm thick T1 Weighted coronal images and show no significant feature of note.
1. A fairly large, posterior and left paracentral disc herniation at the L5-S1 level with displacement of both the S1 nerve roots, left more than the right, and small peridiscal osteophytes at this level.
2. A small posterior disc herniation at the L4-L5 level.
As compared to the previous MRI dated 00.00.0000, there is increase in the degree of disc herniation at the L5-S1 level.