sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyzka Mlmn / F / 21 yrs.
Referred by : Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain, radiating to the LLE since 15 days. Occasional paresthesias.
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.
IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is loss of water content of the L5-S1 intervertebral disc.
There is a small postero-central and right paracentral disc herniation with peridiscal osteophyte at the L5-S1 level. Slight inferior migration of the disc fragment is noted with minimal indentation on the traversing right S1 nerve root.
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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
21.0 mm at L1-L2
19.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
12.0 mm at L5-S1.
Screening T1 Weighted coronal images of the S. I. joints and hip joints, do not reveal any significant feature of note.
IMPRESSION :
Degenerated L5-S1 disc with a small postero-central and right paracentral disc herniation with peridiscal osteophyte at the L5-S1 level, with minimal indentation on the traversing right S1 nerve root.