ke/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyzi Hulmn / F / 40 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias 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 posterior translation of the L5 over the S1 vertebra. A pseudoposterior disc herniation with peridiscal osteophyte is seen at the L5-S1 level with mild right neural foraminal narrowing and indentation upon the right S1 nerve root. This disc shows loss of water content.
The L5-S1 facet joint on the left side shows mild degenerative change.
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 S2 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
18.0 mm at L2-L3
20.0 mm at L3-L4
16.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
1. Posterior translation of the L5 over the S1 vertebra.
2. A pseudoposterior disc herniation with peridiscal osteophyte at the L5-S1 level with indentation upon the right S1 nerve root.
3. Mild degenerative changes of the left sided L5-S1 facet joint.