sb/hs.nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzeed lmn / M / 38 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 2-3 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.
OBSERVATION :
The L5 vertebra is as marked on the film.
A postero-central disc protrusion with peridiscal osteophytes is noted at the L5-S1 level. Bilateral far lateral (extraforaminal) disc bulges are also noted at this level. There is also slight facetal hypertrophy at the L5-S1 level.
The lumbar vertebral bodies are slightly hypointense than normal and this may represent a preponderance of hematopoietic marrow.
The lumbar intervertebral discs show mild loss of water content.
The remaining 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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
19.0 mm at L2-L3
19.0 mm at L3-L4
19.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
A postero-central disc protrusion with peridiscal osteophytes at the L5-S1 level with slight facetal hypertrophy at this level.