sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzm Shinlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzcha.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with tingling since 1 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.

OBSERVATION :

There is loss of normal lumbar lordosis and loss of water content of the lumbar intervertebral discs.

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

A small posteriorly herniated disc is noted at the L4-L5 level with bilateral neural foraminal narrowing. Mild ligamentum flavum hypertrophy is also seen at this level.

A small, right postero-lateral disc bulge is noted at the L3-L4 level with slight right neural foraminal narrowing.
Schmorls nodes are seen in the lumbar region.

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

Type II degenerative marrow changes are noted adjacent to the L5-S1 intervertebral disc.
..2/.







The rest of the lumbar vertebral bodies 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 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
14.0 mm at L2-L3
11.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

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

2. A small posteriorly herniated disc at the L4-L5 level.

3. A small, right postero-lateral disc bulge at the L3-L4 level with slight right neural foraminal narrowing.

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

5. Facetal hypertrophy in the lower lumbar region.

6. Tight lumbar canal at the L4-L5 and L5-S1 levels.