sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xylmn / M / 41 yrs.
Referred by : Dr. Abc Xyz Janjire.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O neckpain and low back pain with radiating pain to the RUE and RLE and tingling since 7 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 loss of water content of the L5-S1 intervertebral disc.
A small, postero-central protruded disc with peridiscal osteophyte is seen at the L5-S1 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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
22.0 mm at L1-L2
18.0 mm at L2-L3
19.0 mm at L3-L4
18.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
A small, postero-central protruded disc with peridiscal osteophyte at the L5-S1 level.