sb/bv/nl/rg.
0000 Date : 00.00.00

Name of the Patient : Abc Xyzissa Salmn / F / 30 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 2 months.

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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is loss of water content of the L3-L4, L4-L5 and L5-S1 intervertebral discs.

Postero-central disc herniations are noted at the L3-L4 and L5-S1 levels. Minimal indentation on the traversing right S1 nerve root is noted at the L5-S1 level.

There is a fairly large, posteriorly extruded disc at the L4-L5 level, with thecal sac compression. A sequestered disc fragment is noted in the right lateral epidural space at the L5 vertebral level, indenting the traversing right L5 nerve root.

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 D12-L1 level and the thecal sac terminates at the S1 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
17.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. A fairly large, posteriorly extruded disc at the L4-L5 level, with a sequestered disc fragment in the right lateral epidural space at the L5 vertebral level, indenting the traversing right L5 nerve root.

2. Postero-central disc herniations at the L3-L4 and L5-S1 levels with minimal indentation on the traversing right S1 nerve root at the L5-S1 level.