ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzMalmn / M / 91 yrs.
Referred by : Dr. Abc Xyz Parekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 5 months.
H/O fall 30 years back with ? fracture of L1.

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 anterior wedging of the L1 vertebral body which shows fatty marrow changes.

There is a left paracentral disc herniation at the D12-L1 level.

Small posterior disc herniations are noted at the L1-L2, L2-L3 and L5-S1 levels. Small posterior disc bulges are noted at the L3-L4 and L4-L5 levels. The lumbar intervertebral discs show loss of water content.

Posterior peridiscal osteophytes are noted at the D12-L1, L1-L2 and L2-L3 levels.

Facetal arthropathy is seen at the L4-L5 and L5-S1 levels.





The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining 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.

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

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

IMPRESSION :

1. A left paracentral disc herniation at the D12-L1 level.

2. Small posterior disc herniations at the L1-L2, L2-L3 and L5-S1 levels.

3. Small posterior disc bulges at the L3-L4 and L4-L5 levels.

4. Facetal arthropathy at the L4-L5 and L5-S1 levels.