Name of the Patient : Abc Xyzed Jalmn / M / 26 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RLE with numbness.
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.
The L4-L5 and L5-S1 intervertebral discs show mild loss of water content.
A large postero-central disc herniation is seen to indent the thecal sac at the L4-L5 level.
The L3-L4, L4-L5 and L5-S1 facet joints show degenerative changes.
Mild posterior disc bulges are seen 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 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 :
18.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
9.0 mm at L4-L5
11.0 mm at L5-S1.
The MRI features are suggestive of a large postero-central disc herniation at the L4-L5 level.