ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Ylmn / M / 12 yrs.
Referred by : Dr. Abc Xyzidhwa.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

Known C/O epilepsy since the age of 4 years.
C/O backache with pain radiating to BLE since 3-4 weeks.

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 posterior disc herniation, more to the left of the midline at the L5-S1 level with mild indentation upon the left S1 nerve root. Left neural foraminal narrowing is noted. Mild inferior migration of the disc is seen. A small right far lateral disc bulge is also seen at the L5-S1 level with mild indentation upon the extraforaminal portion of the right L5 nerve root.

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 D12-L1 level and the thecal sac terminates at the S1 level.



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The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

18.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
9.0 mm at L5-S1.

The cervico-dorsal spine was screened with 4 mm thick T2 Weighted sagittal images which does not reveal any diagnostic feature of note.

IMPRESSION :

The MRI features are suggestive of :

1. A posterior disc herniation, more to the left of the midline at the L5-S1 level with mild indentation upon the left S1 nerve root.

2. A small right far lateral disc bulge at the L5-S1 level with mild indentation upon the extraforaminal portion of the right L5 nerve root.