Date : 00.00.00
sb/ke
Name of the Patient : Abc Xyz lmn / M / 36 yrs.
Referred by : Dr. Abc Xyzy B. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE since 7-8 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 L4-L5 intervertebral disc.

There is a small, postero-central disc herniation with a peridiscal osteophyte at the L4-L5 level, indenting the dural theca anteriorly.

The lumbar vertebral bodies and the remaining intervertebral discs show normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12-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 :

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

IMPRESSION :

Degenerated L4-L5 disc with a small, postero-central disc herniation with a peridiscal osteophyte at the L4-L5 level.