hs/bv/rg.
Date : 00.00.00

Name of the Patient : Abc XyzMublmn / M / 40 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE since 10 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 mild retroplacement of the L1 vertebra over the L2 vertebra.

A postero-central disc herniation with peridiscal osteophytes is seen to indent the thecal sac at the L1-L2 level.

A small posterior disc herniation with peridical osteophytes is seen to indent the thecal sac at the D12-L1 level.

Small posterior disc herniations are seen to indent the thecal sac and cause mild neural foraminal narrowing bilaterally at the L4-L5 and L5-S1 levels.

A small left far lateral (extraforaminal) disc herniation is seen to indent the extraforaminal portion of the exiting left L4 nerve root at the L4-L5 level.

There is a postero-central disc protrusion at the L2-L3 level.


There are small right postero-lateral and right far lateral disc herniations causing mild right neural foarminal narrowing at the L2-L3 and L3-L4 levels.

There are far lateral (extraforaminal) disc bulges on the left side at the L3-L4 level and on the right side at the L4-L5 level.

The facet joints at the L5-S1 level bilaterally and on the left side at the L4-L5 level show hypertrophic degenerative changes. Mild facetal arthropathy is noted at the L2-L3 and L3-L4 levls.

There is ligamentum flavum hypertrophy over the L4-L5 to the L5-S1 levels.

The lumbar intervertebral discs except at the L3-L4 and L5-S1 levels show loss of water content.

The pedicles ot the lumbar vertebrae appear congenitally short in their antero-posterior dimensions.

Schmorls nodes are noted in the dorso-lumbar region. Anterior disc herniations with peridiscal osteophytes are noted at the D12-L1 and L1-L2 levels.

The lumbar vertebral bodies reveal normal signal intensity. 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 S1-S2 level.

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

12.0 mm at L1-L2
12.0 mm at L2-L3
14.0 mm at L3-L4
13.0 mm at L4-L5
9.0 mm at L5-S1.
..3/.



- 3 - Scan-00003


IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc herniation with peridiscal osteophytes at the L1-L2 level.

2. A small posterior disc herniation with peridical osteophytes at the D12-L1 level.

3. Small posterior disc herniations at the L4-L5 and L5-S1 levels.

4. A small left far lateral (extraforaminal) disc herniation at the L4-L5 level.

5. A postero-central disc protrusion at the L2-L3 level.

6. Small right postero-lateral and right far lateral disc herniations at the L2-L3 and L3-L4 levels.

7. Hypertrophic facetal arthropathy at the L5-S1 level bilaterally and on the left side at the L4-L5 level.

8. Ligamentum flavum hypertrophy over the L4-L5 to the L5-S1 levels.

9. Congenitally short pedicles of the lumbar vertebrae in their antero-posterior dimensions.

10. Tight canal at the L5-S1 level.