hs/bv/nl/rg.
Date : 00.00.00

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

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 2 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 mild retroplacement of the L3 over the L4 and the L4 over the L5 vertebrae. The L3-L4 and L4-L5 intervertebral discs show loss of water content. The L3-L4 intervertebral disc is decreased in height.

Right paracentral and right postero-lateral disc herniation is seen to indent the thecal sac and cause minimal right neural foraminal narrowing, at the L3-L4 level.

A small posterior disc herniation is seen to indent the thecal sac at the L4-L5 level. Also seen is mild left neural foraminal narrowing at this level.

A posterior disc bulge is noted at the L5-S1 level. Bilateral far lateral (extraforaminal) disc bulges are noted at the L4-L5 and L5-S1 levels.
Scan-00008


The L3-L4 and L4-L5 facet joints show mild hypertrophic degenerative changes. Mild facetal hypertrophy is seen at the L2-L3 and L5-S1 levels.

A focal hyperintensity on all the pulse sequences is noted within the D12 vertebral body and this may represent a hemangioma with fat content. Type II degenerative changes are seen within the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc.

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

18.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
14.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. Right paracentral and right postero-lateral disc herniation at the L3-L4 level.

2. A small posterior disc herniation at the L4-L5 level.

3. Hypertrophic facetal arthropathy at the L3-L4 and L4-L5 levels.