sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Chlmn / M / 40 yrs.
Referred by : Dr. Abc XyzGawhale.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (right more than left) with paresthesias since 5-6 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 all the lumbar intervertebral discs except the L1-L2 disc.

There is a left paracentral disc herniation at the L5-S1 level indenting the traversing left S1 nerve root.

There is a left far lateral (extraforaminal) protruded disc at the L4-L5 level.

Slight facetal arthropathy is noted at the L3-L4, L4-L5 and L5-S1 levels.

There is slight anterior wedging of the D11 and D12 vertebral bodies without change in signal intensity.

The lumbar vertebral bodies 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 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
14.0 mm at L2-L3
15.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. A left paracentral disc herniation at the L5-S1 level indenting the traversing left S1 nerve root.

2. Slight facetal arthropathy at the L3-L4, L4-l5 and L5-S1 levels.

3. Slight anterior wedging of the D11 and D12 vertebral bodies without change in their signal intensity may be the sequelae of previous trauma.