sb/bv/nl/nl
Name of the Patient : Abc Xyzree Klmn / F / 27 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 LLE with paresthesias.
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 slight scoliosis of the lumbar spine with convexity to the left.
There is sacralization of the L5 vertebra.
There is loss of water content of the L2-L3 and L4-L5 intervertebral discs.
There is a fairly large, left paracentral disc extrusion at the L4-L5 level with slight inferior migration of the disc fragment indenting the traversing left L5 nerve root.
A small, postero-central disc herniation is noted at the L2-L3 level.
Slight facetal hypertrophy is seen at the L2-L3 and L4-L5 levels.
Scan-00001
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
13.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Slight scoliosis of the lumbar spine with convexity to the left.
2. Sacralization of the L5 vertebra.
3. A fairly large, left paracentral disc extrusion at the L4-L5 level with slight inferior migration of the disc fragment indenting the traversing left L5 nerve root.
4. A small, postero-central disc herniation at the L2-L3 level.
5. Slight facetal hypertrophy at the L2-L3 and L4-L5 levels.