sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyznnisha Shlmn / F / 45 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE and in the RUE with tingling since 3 years.

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 and L5-S1 intervertebral discs. The L5-S1 disc appears reduced in height.

There is a posteriorly herniated disc with peridiscal osteophytes at the L5-S1 level with thecal sac compression and indentation on the traversing S1 nerve roots bilaterally. Bilateral neural foraminal narrowing is also noted at this level. Type II degenerative marrow changes are noted in the L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc.

A posteriorly herniated disc with peridiscal osteophytes is noted at the L4-L5 level with bilateral neural foraminal narrowing. Inferior migration of the disc is noted posterior to L5. Facetal and ligamentum flavum hypertrophy is also noted, with canal stenosis.


A small posterior disc bulge is noted at the L3-L4 level.

The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.

The facet joints in the lumbar region show hypertrophic changes.

The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L1 level and the thecal sac terminates at the S3 level.

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

15.0 mm at L1-L2
15.0 mm at L2-L3
12.0 mm at L3-L4
9.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. A posteriorly herniated disc with peridiscal osteophytes at the L5-S1 level with indentation on the traversing S1 nerve roots bilaterally with bilateral neural foraminal narrowing.

2. A posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level with bilateral neural foraminal narrowing with facetal and ligamentum flavum hypertrophy.

3. Canal stenosis at the L4-L5 and L5-S1 levels.

4. Congenitally short pedicles of the lower lumbar vertebrae in their antero-posterior dimensions.