sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzsalmn / M / 30 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE since 15 days.
Alleged H/O fall prior to this.

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 appears to be sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film. Please correlate with plain radiographs.

There is mild retroplacement of the L4 vertebra over the L5 vertebra.

There is loss of water content of the L4-L5 intervertebral disc.

There is a posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level with bilateral neural foraminal narrowing. Slight inferior migration of the disc fragment is noted more to the right of the midline with indentation on the traversing right L5 nerve root.

Facetal hypertrophy is seen in the lumbar region.

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

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

20.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
12.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film. Please correlate with plain radiographs.

2. A posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level with bilateral neural foraminal narrowing. Slight inferior migration of the disc fragment is noted more to the right of the midline with indentation on the traversing right L5 nerve root.

3. Facetal hypertrophy in the lumbar region.