sb/bv/nl/nl
Date : 00.00.00

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

CLINICAL PROFILE :

C/O low back pain, radiating to the LLE with paresthesias.

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 D12-L1, L3-L4 and L4-L5 intervertebral discs.

There is a posteriorly herniated disc at the L4-L5 level with bilateral neural foraminal narrowing and anterior indentation of the thecal sac.

A right paracentral disc herniation is noted at the L3-L4 level, indenting the dural theca anteriorly.

Facetal hypertrophy is noted at the L2-L3, L3-L4 and L4-L5 levels.

There is slight anterior wedging of the D12 vertebral body without change in signal intensity.

Anterior peridiscal osteophytes are seen at the L4 and L5 vertebral levels and lateral peridiscal osteophytes at the L3-L4 level.



The lumbar vertebral bodies and the remaining 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 L1-L2 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 :

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

IMPRESSION :

1. A posteriorly herniated disc at the L4-L5 level with bilateral neural foraminal narrowing and anterior indentation of the thecal sac.

2. A right paracentral disc herniation at the L3-L4 level.

3. Facetal hypertrophy at the L2-L3, L3-L4 and L4-L5 levels.

4. Tight lumbar canal at the L4-L5 level.