Date : 00.00.00
sb/bv
Name of the Patient : Abc Xyz. Vinlmn / F / 30 yrs.
Referred by : Dr. Abc Xyz
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O low back pain radiating to the RLE since 1 month.

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 L4-L5 and L5-S1 intervertebral discs.

There is slight retroplacement of the L4 over the L5 vertebral bodies.

There are posteriorly herniated discs with posterior peridiscal osteophytes at the L4-L5 and L5-S1 levels. Resultant mild indentation upon the traversing right L5 and S1 nerve roots, respectively is noted. Slight right neural foraminal narrowing is noted at the L4-L5 level.

The facet joints at the L4-L5 and L5-S1 levels appear slgihtly hypertrophied. Ligamentum flavum hypertrophy is also seen at the L4-L5 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 D12-L1 level and the thecal sac terminates at the S1 level.
Anterior disc herniations with peridiscal osteophytes are seen in the upper lumbar region.

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

18.0 mm at L1-L2

15.0 mm at L2-L3

17.0 mm at L3-L4

12.0 mm at L4-L5

9.0 mm at L5-S1.

IMPRESSION :

Degenerated L4-L5 and L5-S1 intervertebral discs with posteriorly herniated discs with posterior peridiscal osteophytes at these levels. Indentation on the traversing right L5 and S1 nerve roots, respectively is noted. The lumbar canal is tight at these levels.