hs/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzar S. Pusalmn / M / 60 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O numbness in the LLE with inability to lift the LLE since 7 days.

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 :

Posterior disc herniations are seen to indent the thecal sac and narrow both neural foramina at the L3-L4 and L4-L5 levels.

A small postero-central disc herniation is seen to indent the thecal sac at the L5-S1 level.

There is a mild posterior disc bulge at the L2-L3 level. A left postero-lateral (foraminal) disc herniation is noted at the L2-L3 level.

Far lateral (extraforaminal) disc bulges are noted bilaterally over the L2-L3 to L5-S1 levels. The intervertebral discs over these levels show loss of water content.

The facet joints over the L2-L3 to L5-S1 levels show mild degenerative changes.


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 D12-L1 level and the thecal sac terminates at the S2 level.

The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and the visualized dorsal spinal cord is unremarkable.

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

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

IMPRESSION :

The MRI features are suggestive of :

1. Posterior disc herniations at the L3-L4 and L4-L5 levels with narrowing of the neural foramina bilaterally over these levels.

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

3. Mild facetal arthropathy over the L2-L3 to L5-S1 levels.