sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Sonlmn / M / 42 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias.

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 a postero-central disc herniation at the L5-S1 level, indenting the dural theca anteriorly.

A fairly large, left paracentral disc herniation is noted at the L4-L5 level with left neural foraminal narrowing and indentation of the traversing left L5 nerve root.

Small postero-central protruded discs are noted at the L3-L4 and L1-L2 levels and a small left far lateral protruded disc is noted at the L2-L3 level.

Focal fatty marrow changes are noted in the L2 vertebral body adjacent to the L1-L2 disc.

The rest of the lumbar vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
R>
Anterior disc herniations are seen at the L1-L2, L2-L3 and L3-L4 levels.

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 :

14.0 mm at L1-L2
13.0 mm at L2-L3
13.0 mm at L3-L4
8.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. A fairly large, left paracentral disc herniation at the L4-L5 level with left neural foraminal narrowing and indentation on the traversing left L5 nerve root.

2. A postero-central disc herniation at the L5-S1 level.