ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz S. lmn / F / 47 yrs.
Referred by : Dr. Abc Xyztange.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 6 years which has increased since 2-3 years.

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 L4-L5 and L5-S1 intervertebral discs show loss of water content.

There is a fairly large postero-central disc herniation at the L4-L5 level with anterior indentation of the thecal sac.

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

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

Ligamentum flavum hypertrophy is seen at the L5, L5-S1 and S1 levels.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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.

- 2 - scan-00000


The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

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

IMPRESSION :

The MRI features are suggestive of :

1. A fairly large postero-central disc herniation at the L4-L5 level.

2. Small posterior disc bulge at the L3-L4 level and a small posterior disc herniation at the L5-S1 level.

3. Ligamentum flavum hypertrophy at the L5, L5-S1 and S1 levels.