ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Valmn / F / 50 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with tingling.

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 partial sacralization of the L5 vertebra on the left side and the L1 vertebral body is as marked on the film.

There is a left postero-lateral disc herniation at the L4-L5 level with antero-lateral indentation of the thecal sac and left neural foraminal narrowing. A left far lateral disc herniation is also noted at this level with indentation upon the extraforaminal portion of the left L4 nerve root. This disc shows loss of water content.

A right, postero-lateral disc herniation is noted at the L3-L4 level, with right neural foraminal narrowing.

A Schmorls node is noted in the postero-superior aspect of the D12 vertebral body.

A small, postero-central protruded disc is noted at the D12-L1 level.



The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints at the L4-L5 level appear slightly hypertrophied. Ligamentum flavum hypertrophy is noted at the L4 and L5 levels. The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12 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 :

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

The iliac bones were screened with 6 mm thick T1 Weighted coronal images and do not reveal any diagnostic feature of note.

IMPRESSION :

1. Partial sacralization of the L5 vertebra on the left side.

2. A left postero-lateral and a left far lateral disc herniation at the L4-L5 level indenting the extraforaminal portion of the left L4 nerve root.

3. A right postero-lateral disc herniation at the L3-L4 level with right neural foraminal narrowing.