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Name of the Patient : Abc XyzNaitlmn / M / 24 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE with numbness.
H/O lifting heavy weights.

EXAMINATION :

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.

OBSERVATION :

There is loss of water content of the D11-D12, L1-L2, L4-L5 and L5-S1 intervertebral discs.

There is a right postero-lateral disc herniation with peridiscal osteophytes at the L5-S1 level with right neural foraminal narrowing and mild indentation on the traversing right S1 nerve root which is probably inflamed. Slight facetal hypertrophy is noted at this level. A left far lateral disc herniation is seen to indent the extraforaminal portion of the exiting left L5 nerve root at the L5-S1 level.

Small posterior disc bulges with peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels.

A postero-central protruded disc with peridiscal osteophytes is noted at the D11-D12 level and a small left paracentral disc herniation with peridiscal osteophytes is seen at the L1-L2 level.


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 level and the thecal sac terminates at the S2 level.

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

14.0 mm at D11-D12
20.0 mm at D12-L1
18.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. A right postero-lateral disc herniation with peridiscal osteophytes at the L5-S1 level with mild indentation on the traversing right S1 nerve root which is probably inflamed. Slight facetal hypertrophy is noted at this level.

2. Small posterior disc bulges with peridiscal osteophytes at the L3-L4 and L4-L5 levels.

3. A postero-central protruded disc with peridiscal osteophytes at the D11-D12 level.

4. A small left paracentral disc herniation with peridiscal osteophytes at the L1-L2 level.

5. A left far lateral (extraforaminal) disc herniation indenting the extraforaminal portion of the exiting left L5 nerve root at the L5-S1 level.


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