sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzati Glmn / F / 54 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 1 month.

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 L3-L4, L4-L5 and L5-S1
intervertebral discs.

There is a postero-central and left paracentral disc herniation at the L4-L5 level with slight inferior migration of the disc indenting the traversing left L5 nerve root.

A small left postero-lateral and left far lateral disc bulge with peridiscal osteophyte is noted at the L3-L4 level.

Slight facetal hypertrophy is noted at the L3-L4 and L4-L5 levels.

The lumbar vertebral bodies show fatty marrow changes. The remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
Scan-00008


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 :

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

IMPRESSION :

1. A postero-central and left paracentral disc herniation at the L4-L5 level with slight inferior migration of the disc indenting the traversing left L5 nerve root.

2. A small left postero-lateral and left far lateral disc bulge with peridiscal osteophyte at the L3-L4 level.

3. Slight facetal hypertrophy at the L3-L4 and L4-L5 levels.