Name of the Patient : Abc Xyzongalmn / M / 32 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE and paresthesias since 3 years.
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 sacralization of the L5 vertebra which is as marked on the film.
There is loss of water content of the L3-L4 and L4-L5 intervertebral discs.
There is a fairly large posterior and left paracentral disc herniation at the L4-L5 level with slight inferior migration of the disc fragment indenting the traversing left L5 nerve root.
A smaller, postero-central disc herniation is noted at the L3-L4 level.
Slight facetal hypertrophy is noted at the L3-L4 and L4-L5 levels.
Fat is noted in the filum terminale at L2 and L3 vertebral 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 :
14.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
9.0 mm at L4-L5
9.0 mm at L5-S1.
1. Sacralization of the L5 vertebra.
2. A fairly large posterior and left paracentral disc herniation at the L4-L5 level with slight inferior migration of the disc fragment indenting the traversing left L5 nerve root.
3. A smaller, postero-central disc herniation at the L3-L4 level.
4. Slight facetal hypertrophy at the L3-L4 and L4-L5 levels.