sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzal Sollmn / M / 41 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE 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 and L4-L5 intervertebral discs with reduction in height.

There is a fairly large, posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level, indenting the dural theca anteriorly with bilateral neural foraminal narrowing and canal stenosis. Slight inferior migration of the disc fragment is noted, to the left of the midline, indenting the traversing left L5 nerve root.

A posterior and left far lateral disc bulge with peridiscal osteophytes is noted at the L3-L4 level with slight left neural foraminal narrowing.

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 L2 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 :

15.0 mm at L1-L2
18.0 mm at L2-L3
15.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. A fairly large, posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level, with slight inferior migration of the disc fragment to the left of the midline, indenting the traversing left L5 nerve root with canal stenosis.

2. A posterior and left far lateral disc bulge with peridiscal osteophytes at the L3-L4 level.