Name of the Patient : Abc XyzHasan Ralmn / M / 40 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O paresthesias in BLE since 3 years.
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 posterior disc herniation at the L5-S1 level with anterior indentation of the thecal sac.
A postero-central disc bulge is seen at the L4-L5 level with anterior indentation of the thecal sac.
Far lateral disc bulges are seen over the L1-L2 to L4-L5 levels.
Facetal hypertrophy is seen in the lumbar region.
The pedicles of the lumbar vertebrae appear congenitally short in their antero-posterior dimensions.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
- 2 - Scan-00005
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 :
14.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.
The MRI features are suggestive of :
1. A posterior disc herniation at the L5-S1 level.
2. Facetal hypertrophy in the lumbar region.
3. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.