hs/sb/nl/rg.
Date : 00.00.00

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

CLINICAL PROFILE :

C/O backache radiating to the RLE since 2 1/2-3 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.

OBSERVATION :

There is loss of normal lumbar lordosis. Also seen is mild retroplacement of the L5 vertebra over the S1 vertebra.

A postero-central disc extrusion, more to the right of the midline is seen to indent the thecal sac and the traversing right S1 nerve root at the L5-S1 level.

A postero-central disc herniation is seen to indent the thecal sac at the L4-L5 level.

A left far lateral (extraforaminal) disc herniation is seen to indent the extraforaminal portion of the exiting left L5 nerve root at the L5-S1 level.

There is mild facetal hypertrophy at the L4-L5 and L5-S1 levels. The intervertebral discs at these levels show loss of water content.

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.
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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 :

21.0 mm at L1-L2
20.0 mm at L2-L3
21.0 mm at L3-L4
16.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc extrusion, more to the right of the midline indenting the traversing right S1 nerve root at the L5-S1 level.

2. A postero-central disc herniation at the L4-L5 level.

3. A left far lateral (extraforaminal) disc herniation indenting the extraforaminal portion of the exiting left L5 nerve root at the L5-S1 level.