sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Udlmn / F / 33 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

Past H/O fall from a height of 5th floor on 00.00.00.
Now C/O backache since 20-25 days.

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 anterior wedging of the D12 and L1 vertebral bodies without change in signal intensity. Mild herniation of D11-D12 and D12-L1 intervertebral discs into the body of the D12 and L1 vertebrae is noted.

A minimal posterior disc bulge is noted at the L4-L5 level.

The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The 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 :

20.0 mm at L1-L2
21.0 mm at L2-L3
19.0 mm at L3-L4
18.0 mm at L4-L5
15.0 mm at L5-S1.

IMPRESSION :

Slight anterior wedging of the D12 and L1 vertebral bodies without change in signal intensity, is the sequelae of previous trauma.

No other significant abnormality is detected on this study.

As compared to the previous MRI (study no:0000) dated 00.00.0000, there is no significant increase in the degree of wedging of the D12 and L1 vertebrae.