sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzra Khlmn / M / 57 yrs.
Referred by : Dr. Abc Xyzoshi.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain to BLE since 10-15 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 loss of water content of the L3-L4 and L5-S1 intervertebral discs.

There is a small, left paracentral protruded disc at the L5-S1 level.

A minimal posterior disc bulge is noted at the L4-L5 level.

There is a right paracentral disc herniation with peridiscal osteophyte at the L3-L4 level, minimally indenting the traversing right L4 nerve root. A left far lateral disc herniation is also noted at this level indenting the extraforaminal segment of the left L3 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 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 :

18.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
16.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

1. A small, left paracentral protruded disc at the L5-S1 level.

2. A right paracentral disc herniation with peridiscal osteophyte at the L3-L4 level, minimally indenting the traversing right L4 nerve root and a left far lateral disc herniation at this level indenting the extraforaminal segment of the left L3 nerve root.