Name of the Patient : Abc XyzGadalmn / F / 29 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 (left more than right) 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 a posterior disc herniation with peridiscal osteophytes at the L4-L5 level indenting the anterior aspect of the thecal sac. Inferior migration of the disc is noted with indentation upon both the traversing L5 nerve roots. This disc shows slight loss of water content.
The L4-L5 facet joints show degenerative changes with mild ligamentum flavum hypertrophy at the L4-L5 and L5 levels.
A well-defined lesion is seen in the D12-L1 neural foramen on the left side following CSF signal intensity characteristics on all the pulse sequences and may represent a baggy nerve root/meningeal cyst.
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 :
16.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
9.0 mm at L4-L5
9.0 mm at L5-S1.
1. A posterior disc herniation with peridiscal osteophytes at the L4-L5 level with facetal arthropathy and a resultant tight canal at this level.
2. A well-defined lesion in the D12-L1 neural foramen on the left side may represent a baggy nerve root/ meningeal cyst.