ke/sb/rg.
Date : 00.00.00
Name of the Patient : Abc XyzPolmn / M / 38 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzsrani.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) with paresthesias and wasting of the LLE since 4 months.
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 a postero-central and right paracentral disc herniation at the L5-S1 level with indentation upon the right S1 nerve root. Small peridiscal osteophytes are also noted at this level. This disc shows loss of water content. The facet joints at this level appear slightly hypertrophied.
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.
A probable conjoint right L5-S1 nerve root is noted.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the L5 level.
Scan-00001
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
18.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of a postero-central and right paracentral disc herniation with peridiscal osteophytes at the L5-S1 level with indentation upon the right S1 nerve root. Slight facetal hypertrophy is noted with canal stenosis.
As compared to the previous MRI dated 00.00.00, there is no significant change noted.