ke/sb/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz H. Llmn / F / 32 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left) with numbness since 2 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 slight forward translation of the L5 over the S1 vertebra without obvious spondylolysis.
A small posterior disc bulge is seen at the L5-S1 level. This disc shows slight loss of water content.
A small posterior disc bulge is noted at the L4-L5 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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 S1 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
20.0 mm at L2-L3
20.0 mm at L3-L4
18.0 mm at L4-L5
20.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Slight forward translation of the L5 over the S1 vertebra without obvious spondylolysis.
2. A small posterior disc bulge at the L5-S1 level.
3. A small posterior disc bulge at the L4-L5 level.