sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / F / 48 yrs.
Referred by : Dr. Abc Xyzoshipura.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE since 7 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 normal lumbar lordosis and loss of water content of the L2-L3, L3-L4 and L4-L5 intervertebral discs.

A small posterior disc bulge is noted at the L5-S1 level. Facetal hypertrophy is also noted at this level.

Posterior and bilateral far lateral herniated discs are seen at the L4-L5 level with bilateral neural foraminal narrowing. Indentation of the right L5 nerve root is noted. There is also facetal and ligamentum flavum hypertrophy with canal stenosis at this level.

Left and right postero-lateral disc herniation is noted at the L3-L4 level with bilateral neural foraminal narrowing.

There is a right far lateral disc bulge at the L2-L3 level.

Facetal hypertrophy is also noted at the L1-L2 and L2-L3 levels.
- 2 - Scan-00009


A hemangioma with fat content is seen in the L4 vertebral body.

The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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 S2 level.

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

16.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
11.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. A small posterior disc bulge at the L5-S1 level with facetal hypertrophy at this level.

2. Posterior and bilateral far lateral herniated discs at the L4-L5 level with bilateral neural foraminal narrowing and indentation of the right L5 nerve root. There is also facetal and ligamentum flavum hypertrophy with canal stenosis at this level.

3. Left and right postero-lateral disc herniation at the L3-L4 level with bilateral neural foraminal narrowing.

4. Facetal hypertrophy at the L1-L2 and L2-L3 levels.