sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzo C. Malulmn / M / 50 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with radiating pain to the RLE and paresthesias since 1 month.

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 L3-L4, L4-L5 and L5-S1 intervertebral discs.

There is slight retrolisthesis of the L5 over the S1 vertebra.

There is a posteriorly herniated disc with peridiscal osteophytes at the L5-S1 level with bilateral neural foraminal narrowing and indentation on the traversing left S1 nerve root. A sequestered disc fragment is noted in the right lateral recess of S1 indenting the thecal sac and traversing right S1 nerve root. Bilateral far lateral disc bulges are also noted at this level.

A posteriorly bulging disc is seen at the L4-L5 level with bilateral neural foraminal narrowing. A sequestered disc fragment is noted in the right lateral recess of L5 indenting the traversing right L5 nerve root. Slight facetal hypertrophy is noted at this level.



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

A hemangioma with fat content is noted in the S1 vertebral body.

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 :

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

IMPRESSION :

1. Slight retrolisthesis of the L5 over the S1 vertebra.

2. A posteriorly herniated disc with peridiscal osteophytes at the L5-S1 level with indentation on the traversing left S1 nerve root with a sequestered disc fragment in the right lateral recess of S1 indenting the traversing right S1 nerve root.

3. A posteriorly bulging disc at the L4-L5 level with a sequestered disc fragment in the right lateral recess of L5 indenting the traversing right L5 nerve root.