sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzen Kadlmn / F / 72 yrs.
Referred by : Dr. Abc Xyzdakia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 15-20 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 loss of water content of the lumbar intervertebral discs, except the L5-S1 disc.

There is mild scoliosis of the lumbar spine with convexity to the left side.

There is minimal forward translation of the L4 over the L5 vertebra.

There is a posterior disc bulge with left far lateral disc herniation at the L5-S1 level indenting the extraforaminal segment of the left L5 nerve root. Facetal and ligamentum flavum hypertrophy is noted at this level, with bilateral neural foraminal narrowing. The right S1 nerve root sleeve appears bigger than the left (scan 104.3) ? baggy nerve root sleeve.





There is a posteriorly herniated disc at the L4-L5 level with bilateral neural foraminal narrowing. A disc fragment is noted in the left neural foramen at the L4-L5 level, indenting the foraminal segment of the left L4 nerve root. There is also facetal and ligamentum flavum hypertrophy at the L4-L5 level with resultant canal stenosis.

A posteriorly herniated disc with peridiscal osteophyte is noted at the L3-L4 level with bilateral neural foraminal narrowing. Slight facetal and ligamentum flavum hypertrophy is noted at this level.

Minimal posterior disc bulges are noted at the L1-L2 and L2-L3 levels.

Lateral peridiscal osteophytes are seen in the lumbar region.

Anterior disc herniations with anterior peridiscal osteophytes are noted in the lumbar region.

Schmorls nodes/limbus vertebra are seen in the lumbar region.

The lumbar vertebral bodies show fatty marrow changes.
The rest of 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 S1 level.
..3/.














- 3 - Scan-00006


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
14.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. Minimal forward translation of the L4 over the L5 vertebra.
2. A posteriorly herniated disc at the L4-L5 level with a disc fragment in the left neural foramen at the L4-L5 level, indenting the foraminal segment of the left L4 nerve root with facetal and ligamentum flavum hypertrophy.

3. A posterior disc bulge with left far lateral disc herniation at the L5-S1 level indenting the extraforaminal segment of the left L5 nerve root with facetal and ligamentum flavum hypertrophy.

4. A posteriorly herniated disc with peridiscal osteophyte at the L3-L4 level with bilateral neural foraminal narrowing with slight facetal and ligamentum flavum hypertrophy.

5. Canal stenosis at the L3-L4, L4-L5 and L5-S1 levels.