sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzgalhalikar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 1 year.

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 reduction in height of the L5-S1 disc and loss of water content of the L4-L5 and L5-S1 intervertebral discs.

There is a posteriorly herniated disc with a posterior peridiscal osteophyte (hard disc) at the L5-S1 level with bilateral neural foraminal narrowing and indentation on the traversing left S1 nerve root. There is also slight facetal and ligamentum flavum hypertrophy at this level. Minimal facet joint effusion is noted at the L5-S1 level.

A small postero-central disc herniation with peridiscal osteophyte is seen at the L4-L5 level, indenting the dural theca anteriorly. Slight facetal hypertrophy is noted at this level.

Anterior disc herniation with anterior peridiscal osteophytes is noted at the L5-S1 level.





Type I degenerative marrow changes are seen adjacent to the L5-S1 disc. An anterior disc herniation is also noted at this level.

The rest of 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 S3 level.

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

21.0 mm at L1-L2
19.0 mm at L2-L3
20.0 mm at L3-L4
16.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. A posteriorly herniated disc with a posterior peridiscal osteophyte (hard disc) at the L5-S1 level indenting the traversing left S1 nerve root.

2. A small postero-central disc herniation with peridiscal osteophyte at the L4-L5 level.

3. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels with mild facet joint effusion at the L5-S1 level.