hs/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzulla Anlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 9 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 subluxation of the L4 vertebra over the L5 vertebra.

There is a postero-central disc herniation with peridiscal osteophytes indenting the thecal sac at the L1-L2 level. There is reduction in height of this disc. An anterior disc herniation is also seen at this level.

Posterior disc bulges are seen to indent the thecal sac and narrow both the neural foramina at the L2-L3, L3-L4 and L4-L5 levels.

There is a right far lateral (foraminal and extraforaminal) disc herniation at the L2-L3 level. Also seen are far lateral (extraforaminal) disc bulges bilaterally at the L3-L4 and L4-L5 levels and on the left side at the L2-L3 level.
Scan-00003

The L4-L5 facet joints show hypertrophic degenerative changes. The L1-L2, L2-L3 and L3-L4 facet joints show degenerative changes.

The lumbar intervertebral discs show loss of water content.

Type II degenerative changes are noted in the lumbar region.

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 S1 level.

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

12.0 mm at L1-L2
12.0 mm at L2-L3
14.0 mm at L3-L4
14.0 mm at L4-L5
14.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc herniation with peridiscal osteophytes at the L1-L2 level.

2. Posterior disc bulges at the L2-L3, L3-L4 and L4-L5 levels.

3. A right far lateral (foraminal and extraforaminal) disc herniation at the L2-L3 level.

4. Hypertrophic facetal arthropathy at the L4-L5 level.

5. Facetal arthropathy at the L1-L2, L2-L3 and L3-L4 levels.