hs/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Klmn / M / 35 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache.
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 :
A postero-central disc herniation, more to the left of the midline is seen to indent the thecal sac and the traversing left S1 nerve root at the L5-S1 level. This intervertebral disc shows loss of water content.
A mild posterior disc bulge is noted at the L4-L5 level.
The lumbar vertebral bodies and the remaining 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 D12 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 :
22.0 mm at L1-L2
20.0 mm at L2-L3
14.0 mm at L3-L4
15.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of a postero-central disc herniation, more to the left of the midline at the L5-S1 level.
As compared to the previous MRI (study no:0000) dated 00.00.00, there is a slight increase in the size of the disc herniation at the L5-S1 level.