sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzelmn / M / 35 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 5-6 months which increased since 2-3 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.

OBSERVATION :

There is probable sacralization of the L5 vertebra (Kindly correlate with plain radiographs).

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

There is a small, postero-central disc herniation at the L4-L5 level, indenting the dural theca anteriorly. Small posterior peridiscal osteophytes and slight facetal hypertrophy is also noted at this level.

The lumbar vertebral bodies and the remaining intervertebral discs 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 :

15.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
11.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. Probable sacralization of the L5 vertebra (Kindly correlate with plain radiographs).

2. Degenerated L4-L5 disc with a small, postero-central disc herniation at that level. Small posterior peridiscal osteophytes and slight facetal hypertrophy is also noted at this level.