sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzPlmn / F / 55 yrs.
Referred by : Dr. Abc Xyzsani / Dr. Abc Xyzhatt.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (left more than right) with numbness.

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 nearly all the lumbar intervertebral discs except the L1-L2 disc.

There is probable sacralization of the L5 vertebra and the L5 vertebra is as marked on the film.

Congenital anomaly of the D12 and L1 vertebral bodies is noted. The waist appears narrow and the D12-L1 disc appears reduced in height.

A small postero-central protruded disc is noted at the L4-L5 level. The facet joints at this level appear hypertrophied bilaterally. Mild ligamentum flavum hypertrophy is also identified at the L4-L5 and L5 vertebral levels.

The lumbar vertebral bodies reveal normal signal intensity. The remaining 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 S1 level.
..2/.







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

15.0 mm at L1-L2
18.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
15.0 mm at L5-S1.

IMPRESSION :

1. Probable sacralization of the L5 vertebra.

2. A small postero-central protruded disc at the L4-L5 level.