sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzhlmn / F / 32 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 8 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 lumbar intervertebral discs except of the L5-S1 disc. There is mild retroplacement of the L4 vertebra over the L5 vertebra.

There is a left paracentral disc herniation with peridiscal osteophytes at the L4-L5 level. Inferior migration of the disc fragment is noted with indentation upon the traversing left L5 nerve root.

Slight hypertrophy of the L5-S1 articular facets is noted. A posterior disc bulge is noted at this level.

Focal, fatty marrow changes are noted around the Schmorls nodes at the L1 and L2 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 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 :

14.0 mm at L1-L2
13.0 mm at L2-L3
14.0 mm at L3-L4
9.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. A left paracentral disc herniation with peridiscal osteophytes at the L4-L5 level with inferior migration of the disc fragment, indenting the traversing left L5 nerve root.

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

3. A tight canal at the L4-L5 level.