hs/sb/nl/nl
Date : 00.00.00
Name of the Patient : Abc Xyznath Poolmn / M / 30 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right).
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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
The L5 vertebra appears as marked on the film. Please correlate with plain radiographs.
A postero-central disc herniation is seen to indent the thecal sac at the L5-S1 level. The facet joints at this level show hypertrophic degenerative changes. The L5-S1 intervertebral disc shows loss of water content.
The L2-L3, L3-L4 and L4-L5 facet joints appear slightly hypertrophied.
A posterior disc bulge is seen at the L4-L5 level.
Type II degenerative changes are noted in the L4, L5 and S1 vertebrae.
- 2 - Scan-00009
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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
17.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A postero-central disc herniation at the L5-S1 level.
2. Hypertrophic facetal arthropathy at the L5-S1 level.
3. Facetal hypertrophy at the L2-L3, L3-L4 and L4-L5 levels.