https://www.medmantra.com Wed, 25 Dec 2024 07:12:47 +0000 en-gb https://www.medmantra.com/item/349-11578 https://www.medmantra.com/item/349-11578 ke/hs
Date : 00.00.00

Name of the Patient : Abc XyzK. Blmn / F / 37 yrs.
Referred by : Dr. Abc Xyzrla.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE with paresthesias since 4-5 years which have increased since 2-3 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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is a right paracentral disc extrusion at the L5-S1 level with right antero-lateral indentation of the thecal sac and right neural foraminal narrowing. There is indentation upon the traversing right S1 nerve root. A small extruded disc portion is seen to migrate inferiorly and lie posterior to the S1 vertebral body.

A large postero-central disc extrusion is seen at the L4-L5 level with anterior compression of the thecal sac and canal stenosis. An extruded disc portion is seen to migrate inferiorly into the right lateral recess of the L5 vertebra with indentation upon the traversing right L5 nerve root. Small posterior peridiscal osteophytes are also noted at this level. The L4-L5 facet joints show mild degenerative changes.

A small postero-central disc herniation is seen at the L3-L4 level with anterior indentation of the thecal sac.

The L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.
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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.

The conus medullaris terminates at the L1 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 :

17.0 mm at L1-L2

16.0 mm at L2-L3

11.0 mm at L3-L4

6.0 mm at L4-L5

11.0 mm at L5-S1.

IMPRESSION :

1. A right paracentral disc extrusion at the L5-S1 level with indentation upon the traversing right S1 nerve root. A small extruded disc portion is seen posterior to the S1 vertebral body.

2. A large postero-central disc extrusion at the L4-L5 level with canal stenosis. An extruded disc portion is seen in the right lateral recess of the L5 vertebra with indentation upon the traversing right L5 nerve root.

3. A small postero-central disc herniation at the L3-L4 level.

4. Mild facetal arthropathy at the L4-L5 level.
]]> finance@medmantra.com (Regular User) MRI Reports Sun, 27 Dec 2015 16:48:00 +0000