sb/ke/nl/rg.
A Date : 00.00.00

Name of the Patient : Abc Xyzvlmn / M / 63 yrs.
Referred by : Dr. Abc Xyz. Sidhwa.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache (on and off) since several years.

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 probable sacralization of the L5 vertebra. There is minimal forward translation of the L5 over the S1 vertebra.

There is a postero-central disc herniation at the L5-S1 level indenting the dural theca anteriorly.

A postero-central and left paracentral disc herniation with peridiscal osteophytes is noted at the L4-L5 level, indenting the dural theca anteriorly.

Facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels.

The lumbar vertebral bodies show spotty fatty marrow changes and the intervertebral discs show loss of water content. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
Scan-00001A



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 :

24.0 mm at L1-L2
24.0 mm at L2-L3
20.0 mm at L3-L4
17.0 mm at L4-L5
17.0 mm at L5-S1.

IMPRESSION :

1. Probable sacralization of the L5 vertebra. Kindly correlate with plain radiographs.

2. Minimal forward translation of the L5 over the S1 vertebra.

3. A postero-central disc herniation at the L5-S1 level.

4. A postero-central and left paracentral disc herniation with peridiscal osteophytes at the L4-L5 level.

5. Facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.

No plain films were available for review.