sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzSullmn / M / 50 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 1 year.

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.

There is probable spondylolysis of the S1 vertebra, without obvious listhesis.

A small posterior disc bulge with peridiscal osteophytes is noted at the L5-S1 level, with bilateral neural foraminal narrowing. The facet joints at this level show hypertrophic degenerative changes. There is also ligamentum flavum hypertrophy with canal stenosis at the L5-S1 level.

A small posterior disc bulge with peridiscal osteophytes is noted at the L4-L5 level with bilateral neural foraminal narrowing.

A posterior disc bulge is noted at the L3-L4 level. A left far lateral (extraforaminal) disc herniation is also seen at this level, with probable indentation upon the left L3 nerve root.
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There is a right paracentral disc herniation at the L2-L3 level indenting the traversing right L3 nerve root. Left and right postero-lateral disc herniations are also noted at this level with bilateral neural foraminal narrowing with canal stenosis. Slight superior migration of the disc is noted posterior to the L2 vertebral body.

Facetal hypertrophy is noted in the lumbar region, more so at the L2-L3 level.

The lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the 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 :

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

Cortical renal cysts are seen in the right kidney.

IMPRESSION :

1. Probable spondylolysis of the S1 vertebra, without obvious listhesis.

2. A small posterior disc bulge with peridiscal osteophytes at the L5-S1 level, with bilateral neural foraminal narrowing.

3. A small posterior disc bulge with peridiscal osteophytes at the L4-L5 level with bilateral neural foraminal narrowing.
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4. A posterior disc bulge and a left far lateral disc herniation at the L3-L4 level.

5. A right paracentral disc herniation at the L2-L3 level with left and right postero-lateral disc herniations at this level with bilateral neural foraminal narrowing.

6. Facetal hypertrophy in the lumbar region, more so at the L5-S1 and L2-L3 levels with canal stenosis at these levels.