ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzesh I. Dlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzdakia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 15 days.

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 slight retroplacement of the L5 over the S1 vertebra. A small posterior disc herniation with peridiscal osteophyte is seen at the L5-S1 level with mild indentation upon the S1 nerve roots.

A small posterior disc bulge is noted at the L4-L5 level.

There is mild forward subluxation of the L1 over the L2 vertebral body. An anterior transepiphysial disc herniation is seen in the antero-superior portion of the L2 vertebral body. The lumbar intervertebral discs show loss water content.

The lumbar vertebral bodies reveal normal signal intensity. 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 S2 level.



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

18.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
15.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Slight retroplacement of the L5 over the S1 vertebra.

2. A small posterior disc herniation with peridiscal osteophyte at the L5-S1 level with mild indentation upon the S1 nerve roots.

3. A small posterior disc bulge at the L4-L5 level.