hs/ke/nl/rg
Date : 00.00.00

Name of the Patient : Abc Xyz Plmn / M / 75 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 2 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 a postero-central disc protrusion with peridiscal osteophytes at the L5-S1 level.

Posterior disc bulges are noted at the L2-L3, L3-L4 and L4-L5 levels.

There are bilateral far lateral (extraforaminal) disc bulges at the L3-L4, L4-L5 and L5-S1 levels.

The lumbar intervertebral discs show loss of water content. Type II degenerative changes are noted adjacent to the L5-S1 intervertebral disc. The lumbar vertebrae show areas of fatty replacement of normal marrow suggestive of osteoporotic changes.

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 S2 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
15.0 mm at L2-L3
19.0 mm at L3-L4
18.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. A postero-central disc protrusion with peridiscal osteophytes at the L5-S1 level.

2. Posterior disc bulges at the L2-L3, L3-L4 and L4-L5 levels.