hs/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzlal Boghalmn / M / 38 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain in the LLE.

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 :

The L5 vertebra appears to be as marked on the film. Please correlate with plain radiographs.

There is evidence of a large postero-central disc herniation with peridiscal osteophytes compressing upon the thecal sac at the L4-L5 level. The facet joints at this level show degenerative changes. There is ligamentum flavum hypertrophy at the L4-L5 and L5 levels.

There are posterior disc bulges at the L3-L4 and L5-S1 levels.

A right far lateral (extraforaminal) disc bulge is noted at the L2-L3 level. Bilateral far lateral (extraforaminal) disc bulges are seen at the L4-L5 and L5-S1 levels.

There appears to be a conjoint nerve root sleeve at the L4 and L4-L5 levels on the left side.

The D12-L1 and L4-L5 intervertebral discs show loss of water content.
..2/.





- 2 - scan-00005


A small posterior disc bulge with peridiscal osteophyte is noted at the D12-L1 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.

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 :

16.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
9.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A large postero-central disc herniation with peridiscal osteophytes at the L4-L5 level.

2. Facetal arthropathy at the L4-L5 level.

3. Ligamentum flavum hypertrophy at the L4-L5 and L5 levels.

4. Canal stenosis at the L4-L5 level.