ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzra Palmn / M / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias.

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 small left postero-lateral disc herniation with peridiscal osteophytes at the L5-S1 level with indentation upon the exiting left S1 nerve root.

A large right postero-lateral disc herniation is seen at the L2-L3 level with antero-lateral indentation of the thecal sac. An extruded disc portion is seen to migrate superiorly and inferiorly into the right lateral recess of the L2 and L3 vertebral bodies impinging the right L2 and L3 nerve roots. The L2-L3 intervertebral disc shows loss of water content.

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

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

The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S2 level.
..2/.






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

14.0 mm at L1-L2
10.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A small left postero-lateral disc herniation with peridiscal osteophytes at the L5-S1 level with indentation upon the exiting left S1 nerve root.

2. A large right postero-lateral disc herniation at the L2-L3 level with an extruded disc portion seen to migrate superiorly and inferiorly into the right lateral recess of the L2 and L3 vertebral bodies impinging the right L2 and L3 nerve roots.