sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzi Jalmn / M / 46 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (right more than left) with paresthesias since 1 year.

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 slight loss of water content of the L3-L4 and L4-L5 intervertebral discs.

A small posterior disc bulge is noted at the L5-S1 level.

A small posterior disc herniation is noted at the L4-L5 level with bilateral neural foraminal narrowing. There is also ligamentum flavum hypertrophy at the L5 and L4-L5 levels with resultant canal stenosis.

A small posterior bulge and left far lateral disc herniation is noted at the L3-L4 level with left neural foraminal narrowing.

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





Anterior disc herniations are seen at the L4-L5 and L3-L4 levels.

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 lower dorsal spinal cord shows normal signal.

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 :

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

IMPRESSION :

1. A small posterior disc herniation at the L4-L5 level with slight bilateral neural foraminal narrowing and ligamentum flavum hypertrophy.

2. A small posterior disc bulge and left far lateral disc herniation at the L3-L4 level with left neural foraminal narrowing.

3. Slight facet hypertrophy at the L4-L5 and L5-S1 levels.

4. A small posterior disc bulge at the L5-S1 level.

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