sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzilal N. Laplmn / M /52 yrs.
Referred by : Dr. Abc Xyzre.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 15-20 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.

6 mm thick T1 Weighted coronal images.

5 mm thick T1 Weighted sagittal images through the cervico-dorsal region.

OBSERVATION :

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

There is scoliosis of the lumbar spine with convexity to the left. Resultant clockwise rotational anomaly of the lumbar vertebrae is noted.

There is reduction in height of L2-L3 and L3-L4 intervertebral discs and loss of water content of the lumbar intervertebral discs.

Small posterior disc bulges with peridiscal osteophytes are noted at the L2-L3 and L4-L5 levels.

A right postero-lateral disc herniation with peridiscal osteophytes is noted at the L3-L4 level, with right neural foraminal narrowing.
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Facetal hypertrophy is noted at the L2-L3, L3-L4 and L4-L5 levels.

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 :

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

The cervico-dorsal spine was screened with the help of 5 mm thick T1 Weighted sagittal images which does not reveal any diagnostic feature of note.

IMPRESSION :

1. Sacralization of the L5 vertebra which is as marked on the film.

2. Scoliosis of the lumbar spine with convexity to the left with resultant clockwise rotational anomaly of the lumbar vertebrae.

3. Small posterior disc bulges with peridiscal osteophytes at the L2-L3 and L4-L5 levels.

4. A right postero-lateral disc herniation with peridiscal osteophytes at the L3-L4 level, with right neural foraminal narrowing.

5. Facetal hypertrophy at the L2-L3, L3-L4 and L4-L5 levels.