sb/kesb/ke
Date : 00.00.00

Name of the Patient : Abc XyzKhlmn / F / 56 yrs.
Referred by : Dr. Abc Xyzrankar
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 15 days.
H/O fall.

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 normal lumbar lordosis and loss of water content of the lumbar intervertebral discs.

There is mild retrolisthesis of the L5 over the S1 vertebra.

There is a posteriorly bulging disc with posterior peridiscal osteophyte at the L5-S1 level with bilateral neural foraminal narrowing and indentation on the traversing left S1 nerve root. Bilateral far lateral disc bulges are also noted at this level.

A small posterior disc bulge with peridiscal osteophytes is noted at the L4-L5 level with bilateral neural foraminal narrowing.

The lumbar vertebral bodies show spotty fatty marrow changes. 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.




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

17.0 mm at L1-L2

14.0 mm at L2-L3

15.0 mm at L3-L4

11.0 mm at L4-L5

10.0 mm at L5-S1.

IMPRESSION :

1. Mild retrolisthesis of the L5 over the S1 vertebra.

2. A posteriorly bulging disc with posterior peridiscal osteophyte at the L5-S1 level with bilateral neural foraminal narrowing and indentation on the traversing left S1 nerve root. Bilateral far lateral disc bulges are also noted at this level.

3. A small posterior disc bulge with peridiscal osteophytes at the L4-L5 level with bilateral neural foraminal narrowing.

4. Tight lumbar canal at the L4-L5 and L5-S1 levels.