sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzD. Almn / M / 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 since 2 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 :

There is loss of water content of the L5-S1 intervertebral disc.

There is a fairly large, left paracentral extruded disc with peridiscal osteophyte at the L5-S1 level. A sequestered disc fragment is noted in the left lateral epidural space at the L5 and L5-S1 levels with indentation on the traversing left S1 nerve root.

A small posterior disc bulge is noted at the L4-L5 level.

Slight facetal hypertrophy is noted at the L5-S1 level.

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-L2 level and the thecal sac terminates at the S2 level.
- 2 - scan-00003


The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

19.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. A fairly large, left paracentral extruded disc with peridiscal osteophyte at the L5-S1 level with a sequestered disc fragment in the left lateral epidural space at the L5 and L5-S1 levels with indentation on the traversing left S1 nerve root.

2. A small posterior disc bulge at the L4-L5 level.

3. Slight facetal hypertrophy at the L5-S1 level.