Name of the Patient : Abc Xyzlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzni / Dr. Abc Xyzhijwala.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE 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 L5-S1 intervertebral disc.
There is a small postero-central disc herniation with peridiscal osteophytes at the L5-S1 level with slight inferior migration of the disc fragment, minimally indenting the S1 nerve roots bilaterally, more on the left side.
A minimal posterior disc bulge is noted at the L4-L5 level.
Slight facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels.
The sacro-coccygeal junction is unremarkable.
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 :
15.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
11.0 mm at L4-L5
9.0 mm at L5-S1.
1. Degenerated L5-S1 intervertebral disc with a small postero-central disc herniation with peridiscal osteophytes at the L5-S1 level, minimally indenting the S1 nerve roots bilaterally, more on the left side.
2. Slight facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.