sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzTlmn / M / 53 yrs.
Referred by : Dr. Abc Xyzosle.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since February 0000.

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 L4-L5 intervertebral disc.

There is a postero-central disc herniation with peridiscal osteophytes, slightly more to the right of the midline at the L4-L5 level indenting the dural theca and the traversing right L5 nerve root. A left far lateral disc herniation is also noted at this level.

A minimal posterior disc bulge is noted at the L3-L4 level.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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 :

19.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

A postero-central disc herniation, slightly more to the right of the midline at the L4-L5 level indenting the traversing right L5 nerve root.