hs/sb/rg/nl
Date : 00.00.00

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

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE with numbness since 1 month.

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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is a large postero-central disc extrusion compressing the thecal sac at the L4-L5 level.

A small posterior disc bulge is noted at the L5-S1 level.

The L4-L5 and L5-S1 facet joints show degenerative changes.

The L4-L5 intervertebral disc shows loss of water content.

A small cystic lesion is noted in the left renal cortex.

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

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

IMPRESSION :

The MRI features are suggestive of :

1. A large postero-central disc extrusion at the L4-L5 level with canal stenosis.

2. Facetal degeneration at the L4-L5 and L5-S1 levels.