ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzGailmn / M / 45 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 1 1/2 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 slight retrolisthsesis of the L4 over the L5 vertebral body.

A right paracentral disc herniation with peridiscal osteophyte is seen at the L4-L5 level with antero-lateral indentation of the thecal sac. Inferior migration of the disc fragment is noted with indentation upon the traversing right L5 nerve root. This disc is dessicated and shows loss of water content.

Small postero-central disc protrusion is seen at the L3-L4 level. This disc shows loss of water content.

The L3-L4 and L4-L5 facet joints appear slightly hypertrophied.

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


The conus medullaris terminates at the D12-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 :

12.0 mm at L1-L2
11.0 mm at L2-L3
12.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. Slight retrolisthsesis of the L4 over the L5 vertebral body.

2. A right paracentral disc herniation with peridiscal osteophyte at the L4-L5 level with inferior migration of the disc fragment indenting the traversing right L5 nerve root.

3. Small postero-central disc protrusion at the L3-L4 level.