sb/hs/nl/nl
Date : 00.00.00
Name of the Patient : Abc XyzPlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE with paresthesias.
H/O Pulmonary Kochs (6 months back). On AKT since 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 a postero-central protruded disc at the L5-S1 level.
There is a small posterior disc bulge at the L4-L5 level.
Slight facetal hypertrophy is noted at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The remaining 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 :
13.0 mm at L1-L2
11.0 mm at L2-L3
10.0 mm at L3-L4
8.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
1. A postero-central protruded disc at the L5-S1 level.
2. A small posterior disc bulge at the L4-L5 level.
3. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels.