sb/hs/nl/rg.
s Date : 00.00.00

Name of the Patient : Abc Xyzit lmn / F / 47 yrs.
Referred by : Dr. Abc Xyznghal.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE since 6 months.
Alleged H/O fall.

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 normal lumbar lordosis and loss of water content of the L2-L3, L4-L5 and L5-S1 intervertebral discs.

The L4-L5 intervertebral disc is reduced in height.

Type II degenerative marrow changes are noted adjacent to the L4-L5 intervertebral disc.

There is a small, left paracentral disc herniation at the L5-S1 level with minimal indentation on the traversing left S1 nerve root.

There is a left paracentral and left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with left neural foraminal narrowing and indentation on the traversing left L5 nerve root. Slight facetal hypertrophy is noted at the L4-L5 level.

Far lateral (extraforaminal) disc bulges are seen bilaterally at the L4-L5 level and on the left side at the L2-L3 and L3-L4 levels.
..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 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 :

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

IMPRESSION :

1. A small, left paracentral disc herniation at the L5-S1 level with minimal indentation on the traversing left S1 nerve root.

2. A left paracentral and left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with indentation on the traversing left L5 nerve root.