sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzShlmn / F / 29 yrs.
Referred by : Dr. Abc Xyznghal.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE with paresthesias since 2 months.

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 and L5-S1 intervertebral discs.

There is a fairly large, right paracentral extruded disc at the L4-L5 level with right neural foraminal narrowing. Slight inferior migration of the disc fragment is noted with impingement of the traversing right L5 nerve root.

A small, postero-central protruded disc is noted at the L5-S1 level.

The facet joints at the L4-L5 and L5-S1 levels show hypertrophic degenerative changes.

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 S2 level.

Fat is noted in the filum terminale at the L3 and L4 vertebral levels.

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

21.0 mm at L1-L2
18.0 mm at L2-L3
19.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. Right paracentral extruded disc at the L4-L5 level with right neural foraminal narrowing and slight inferior migration of the disc fragment impinging the traversing right L5 nerve root.

2. A small, postero-central protruded disc at the L5-S1 level.

3. Hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels.