sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyza Jalgaonlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzoshipura.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias.

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 L4-L5 intervertebral disc.

There appears to be sacralization of the L5 vertebra and it is as marked on the film.

There is a small posterior disc herniation with peridiscal osteophytes at the L4-L5 level with resultant indentation on the anterior dural theca and mild left neural foraminal narrowing. Slight facetal hypertrophy is noted at the L4-L5 level. A left far lateral (extraforaminal) disc bulge is seen to indent the extraforaminal portion of the exiting left L4 nerve root at the L4-L5 level.

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.
Scan-00000


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 :

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

IMPRESSION :

1. Sacralized L5 vertebra.

2. Degenerated L4-L5 disc with a small posterior disc herniation with peridiscal osteophytes.

3. Facetal hypertrophy at the L4-L5 level.

4. A left far lateral (extraforaminal) disc bulge at the L4-L5 level.