sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzdin H. Deesalmn / M / 27 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE since 4-5 years which has increased since 1 1/2 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 loss of water content of the L5-S1 intervertebral disc.
There is a small, left paracentral disc herniation at the L5-S1 level with minimal indentation on the traversing left S1 nerve root.
A minimal 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 L1-L2 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 :
15.0 mm at L1-L2
...2/.
- 2 -
15.0 mm at L2-L3
13.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.
Screening, T2 Weighted sagittal images of the cervico-dorsal region do not reveal any significant feature of note.
IMPRESSION :
Degenerated L5-S1 disc with a small left paracentral disc herniation indenting the traversing left S1 nerve root at that level.