hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzbanu Hlmn / F / 45 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 12 years.

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 all the lumbar intervertebral discs and reduction in height of the L4-L5 and L5-S1 intervertebral discs.

There is a fairly large, postero-central disc herniation with peridiscal osteophyte at the L5-S1 level, with thecal sac compression and bilateral neural foraminal narrowing. Left far lateral disc bulge is also noted at this level.

A postero-central disc herniation with peridiscal osteophyte is noted at the L4-L5 level, indenting the dural theca anteriorly.

Type II degenerative marrow changes are noted adjacent to the L4-L5 intervertebral disc.







The rest of 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 S1 level.

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

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

IMPRESSION :

1. A fairly large, postero-central disc herniation with peridiscal osteophyte at the L5-S1 level, with bilateral neural foraminal narrowing.

2. A postero-central disc herniation with peridiscal osteophyte at the L4-L5 level.