Name of the Patient : Abc XyzAlmn / M / 22 yrs.
Referred by : Dr. Abc Xyzankhla.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE 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 loss of water content of the L4-L5 intervertebral disc.
There is a fairly large right paracentral disc herniation with peridiscal osteophytes at the L4-L5 level with indentation on the traversing right L5 nerve root. Slight facetal hypertrophy is noted at this level.
A fairly large, posterior and right paracentral disc herniation with peridiscal osteophytes is noted at the L1-L2 level, indenting the traversing right L2 nerve root.
A small posterior disc bulge is noted at the L3-L4 level and a small postero-central protruded disc with peridiscal osteophytes is noted at the L2-L3 level. A left far lateral disc bulge is also seen at the L3-L4 level.
The pedicles of the lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
Schmorls nodes are noted at the L3 and L4 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 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 :
13.0 mm at L1-L2
12.0 mm at L2-L3
12.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.
1. A fairly large right paracentral disc herniation with peridiscal osteophytes at the L4-L5 level indenting the traversing right L5 nerve root with slight facetal hypertrophy.
2. A fairly large, posterior and right paracentral disc herniation with peridiscal osteophytes at the L1-L2 level, indenting the traversing right L2 nerve root.