Name of the Patient : Abc Xyz Palmn / M / 28 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.
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 mild retroplacement of the L4 vertebra over the L5 vertebra.
The L4-L5 intervertebral disc reveals mild loss of water content.
A postero-central disc herniation is seen to indent the thecal sac at the L4-L5 level. A small disc portion is seen to lie within the left lateral recess of the L5 vertebra with indentation upon the traversing left L5 nerve root.
Mild facetal hypertrophy is noted in the lumbar region, more marked at the L4-L5 and L5-S1 levels. There is a mild posterior disc bulge at the L5-S1 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 S2 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
16.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.
The MRI features are suggestive of a postero-central disc herniation at the L4-L5 level with a small disc portion lying within the left lateral recess of the L5 vertebra with indentation upon the traversing left L5 nerve root.