sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xylmn / F / 60 yrs.
Referred by : Dr. Abc Xyzgaonkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain to the RLE with paresthesias since 1 year which has increased since 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 reduction in height of the L5-S1 intervertebral disc and loss of water content of the lumbar intervertebral discs.

There is a fairly large postero-central disc herniation at the L5-S1 level with thecal sac compression and indentation on the S1 nerve roots bilaterally. Bilateral far lateral disc bulges and facetal arthropathy are also noted at this level.

A posteriorly bulging disc with peridiscal osteophytes is seen at the L4-L5 level with bilateral neural foraminal narrowing.

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

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


The lumbar vertebral bodies 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 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
19.0 mm at L2-L3
17.0 mm at L3-L4
13.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. A fairly large postero-central disc herniation at the L5-S1 level with indentation on the S1 nerve roots bilaterally. Facetal arthropathy is also noted with canal stenosis at this level.

2. A posteriorly bulging disc with peridiscal osteophytes at the L4-L5 level with bilateral neural foraminal narrowing.

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