ke/bv/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Mlmn / M / 31 yrs.
Referred by : Dr. Abc Xyzadilkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with paresthesias in the RLE since 2 years.
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 forward subluxation of the L5 over the S1 vertebra.
A small posterior disc herniation is seen at the L5-S1 level with anterior indentation of the thecal sac.
A small posterior disc bulge is identified at the L4-L5 level.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. 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 :
18.0 mm at L1-L2
19.0 mm at L2-L3
17.0 mm at L3-L4
15.0 mm at L4-L5
12.0 mm at L5-S1.
The dorsal spine was screened with 5 mm thick T1 Weighted sagittal images and does not reveal any diagnostic feature of note.
IMPRESSION :
A small posterior disc herniation at the L5-S1 level.