sb/hs/nl/nl.
Date : 00.00.00

Name of the Patient : Abc XyzKashilmn / M / 36 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE since 9 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 all the intervertebral discs except the L3-L4 disc.

There is a posteriorly herniated disc with a peridiscal osteophyte at the L5-S1 level with a fairly large, right paracentral extruded disc indenting the traversing right S1 nerve root. The left L5 nerve root is impinged in the left neural foramen at the L5-S1 level. Bilateral far lateral (extraforaminal) disc herniations are noted at this level.

A postero-central disc herniation with a right postero-lateral (foraminal) and right far lateral (extraforaminal) disc herniation is noted at the L4-L5 level with right neural foraminal narrowing and indentation upon the exiting right L4 nerve root.

The facet joints at the L4-L5 and L5-S1 levels show slight hypertrophic degenerative changes.

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 S2 level.

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

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

IMPRESSION :

1. A posteriorly herniated disc with a peridiscal osteophyte at the L5-S1 level with a fairly large, right paracentral extruded disc indenting the traversing right S1 nerve root. The left L5 nerve root is impinged in the left neural foramen at the L5-S1 level.

2. A postero-central disc herniation with a right postero- lateral (foraminal) and right far lateral (extraforaminal) disc herniation at the L4-L5 level.

3. Slight hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels.

4. Bilateral far lateral (extraforaminal) disc herniations at the L5-S1 level.