Name of the Patient : Abc Xyzth Kantlmn / M / 31 yrs.
Referred by : Dr. Abc Xyzhari.
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 appears to be sacralization of the L5 vertebra and it is as marked on the film. Please correlate with plain radiographs.
A postero-central disc herniation with small peridiscal osteophytes is seen to indent the thecal sac at the L4-L5 level. Mild facetal hypertrophy is seen at this level. The L4-L5 intervertebral disc shows loss of water content.
There is a posterior disc bulge at the L5-S1 level. Bilateral far lateral (extraforaminal) disc bulges is seen at the L4-L5 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 L1 level and the thecal sac terminates at the S1 level.
- 2 - Scan-00004
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
17.0 mm at L1-L2
18.0 mm at L2-L3
15.0 mm at L3-L4
15.0 mm at L4-L5
9.0 mm at L5-S1.
The MRI features are suggestive of :
1. Sacralization of the L5 vertebra. Please correlate with plain radiographs.
2. A postero-central disc herniation with small peridiscal osteophytes and mild facetal hypertrophy at the L4-L5 level.