sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzi Choulmn / F / 43 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain in the RLE with paresthesias since 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 L4-L5 and L5-S1 intervertebral discs.

There is a small posterior disc herniation at the L5-S1 level.

A postero-central and right paracentral disc herniation with peridiscal osteophytes is noted at the L4-L5 level indenting the traversing right L5 nerve root.

Minimal posterior disc bulge is noted at the L3-L4 level.

A small posterior peridiscal osteophyte is noted at the L1-L2 level.

Slight facetal hypertrophy is noted at the L4-L5 and L5-S1 levels with a tight lumbar canal at the L4-L5 level.

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.
..2/.






The conus medullaris terminates at the D12-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 :

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

IMPRESSION :

1. A small posterior disc herniation at the L5-S1 level.

2. A postero-central and right paracentral disc herniation with peridiscal osteophytes at the L4-L5 level indenting the traversing right L5 nerve root.

3. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels with a tight lumbar canal at the L4-L5 level.