sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzBlmn / M / 35 yrs.
Referred by : Dr. Abc XyzDhiware.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 0000 which has increased since 8 days.

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 sacralization of the L5 vertebra.

There is loss of water content of the L2-L3, L3-L4 and L4-L5 intervertebral discs.

A small, postero-central protruded disc with peridiscal osteophytes is noted at the L5-S1 level.

A small, postero-central and left paracentral disc herniation with peridiscal osteophyte is noted at the L4-L5 level with left neural foraminal narrowing.

A left paracentral disc herniation is noted at the L3-L4 level indenting the traversing left L4 nerve root.

A postero-central and left paracentral disc herniation is noted at the L2-L3 level indenting the left L3 nerve root.
Scan-00008


A small postero-central protruded disc is noted at the L1-L2 level.

The facet joints in the lumbar region appear slightly hypertrophied.

The pedicles of the lumbar vertebrae appear congenitally short in their antero-posterior dimensions.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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.

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

13.0 mm at L1-L2
14.0 mm at L2-L3
12.0 mm at L3-L4
12.0 mm at L4-L5
8.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebra.

2. A small, postero-central protruded disc with peridiscal osteophytes at the L5-S1 level.
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- 3 - Scan-00008



3. A small, postero-central and left paracentral disc herniation with peridiscal osteophyte at the L4-L5 level with left neural foraminal narrowing.

4. A left paracentral disc herniation at the L3-L4 level indenting the traversing left L4 nerve root.

5. A postero-central and left paracentral disc herniation at the L2-L3 level indenting the left L3 nerve root.

6. A small postero-central protruded disc at the L1-L2 level.

7. Slight facetal hypertrophy in the lumbar region.

8. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions with lumbar canal stenosis.