sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzha Toralmn / F / 35 yrs.
Referred by : Dr. Abc Xyzg.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with paresthesias since 2-3 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 left paracentral disc herniation with a peridiscal osteophyte at the L4-L5 level indenting the dural theca anteriorly and narrowing the left neural foramen.
Slight hypertrophy of the facet joints is noted at the L4-L5 and L5-S1 levels.
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 :
14.0 mm at L1-L2
13.0 mm at L2-L3
12.0 mm at L3-L4
9.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
Degenerated L4-L5 intervertebral disc with a left paracentral disc herniation with a peridiscal osteophyte at that level causing left neural foraminal narrowing.