SB/KE/NL/RG.
Date : 00.00.00

Name of the Patient : Abc Xyzankar Rlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 15 days.
H/O similar complaints 5 years back.
Alleged H/O fall from a bicycle 8-10 years ago.

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 L1-L2, L4-L5 and L5-S1 intervertebral discs.

There is a small, left paracentral disc herniation, at the L5-S1 level, indenting the traversing left S1 nerve root.

There is a left paracentral disc herniation at the L4-l5 level with left neural foraminal narrowing and indentation on the left L5 nerve root.

The pedicles of the lumbar vertebrae appear congenitally short in their antero-posterior dimensions. The facet joints in the lumbar region appear slightly hypertrophied.

The D12 and L1 vertebral bodies appear slightly wedged, anteriorly without change in signal intensity.



The lumbar vertebral bodies and the remaining intervertebral discs 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 S1 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
16.0 mm at L3-L4
13.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. A small, left paracentral disc herniation, at the L5-S1 level, indenting the traversing left S1 nerve root.

2. A left paracentral disc herniation at the L4-L5 level with left neural foraminal narrowing and indentation on the left L5 nerve root.

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

4. Hypertrophied facet joints in the lumbar region.

5. Slight anterior wedging of the D12 and L1 vertebral bodies most likely is the sequelae of previous trauma.