ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / F / 45 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 3 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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is a posterior disc herniation at the L5-S1 level with indentation upon the S1 nerve roots bilaterally. Bilateral far lateral disc herniations are also noted at this level with indentation upon the extraforaminal portion of the L5 nerve roots and the foraminal portion of the left L5 nerve root. The L5-S1 facet joint on the left side shows mild degenerative change. This disc shows loss of water content.

Small posterior disc bulge with right and left postero-lateral disc bulges are seen at the L4-L5 level with bilateral neural foraminal narrowing. The L4-L5 facet joints show mild degenerative change

A small, left postero-lateral disc bulge is noted at the L3-L4 level.

Type II degenerative changes are noted in the antero-superior portion of the L5 and S1 vertebral bodies and the antero-inferior portion of the L2 vertebral body.
..2/.






The rest of 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 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 :

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

IMPRESSION :

1. A posterior disc herniation at the L5-S1 level with indentation upon the S1 nerve roots bilaterally.

2. Bilateral far lateral disc herniations at the L5-S1 level with indentation upon the extraforaminal portion of the L5 nerve roots and the foraminal portion of the left L5 nerve root.

3. Small posterior disc bulge with right and left postero-lateral disc bulges at the L4-L5 level.

4. Facetal degeneration at the L5-S1 level on the left.