Name of the Patient : Abc Xyzlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzvade.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE with 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 a postero-central and right postero-lateral disc herniation at the L4-L5 level with anterior indentation of the thecal sac and mild right neural foraminal narrowing. Slight inferior migration of the disc is seen. The L4-L5 facet joints bilaterally show hypertrophic degenerative change. This disc shows slight loss of water content.
Facetal hypertrophy is noted at the L3-L4 and L5-S1 levels.
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 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
16.0 mm at L2-L3
15.0 mm at L3-L4
11.0 mm at L4-L5
13.0 mm at L5-S1.
A postero-central and right postero-lateral disc herniation at the L4-L5 level with slight inferior migration of the disc and hypertrophic facetal arthropathy at this level.