ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzal Maklmn / M / 72 yrs.
Referred by : Dr. Abc Xyzthod.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 6-8 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 sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film.

There is a small posterior and bilateral far lateral disc herniations with peridiscal osteophytes at the L4-L5 level with anterior indentation of the thecal sac. Mild indentation upon the extraforaminal portion of the L4 nerve roots is noted. The L4-L5 facet joints show mild degenerative change.

A small posterior disc bulge is noted at the L3-L4 level. The L3-L4 facet joints show mild degenerative changes. Anterior disc herniations are noted in the dorso-lumbar region with anterior peridiscal osteophytes. The lumbar intervertebral discs show loss of water content.







Minimal, posterior peridiscal osteophyte is noted at the L2-L3 level.

Fat is noted in the filum terminale over the L1-L2 to the S1 levels which would be a normal variant.

The lumbar vertebral bodies show diffuse fatty marrow changes.
The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12-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 :

18.0 mm at L1-L2
16.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
7.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebra.

2. A small posterior and bilateral far lateral disc herniations with peridiscal osteophytes at the L4-L5 level with mild indentation upon the extraforaminal portion of the L4 nerve roots and mild facetal arthropathy at this level.

3. A small posterior disc bulge at the L3-L4 level with mild facetal arthropathy at this level.