ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 60 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE since 1 year which has increased 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.

OBSERVATION :

There is a left paracentral disc herniation at the L5-S1 level with mild indentation upon the traversing left S1 nerve root. A small disc fragment is seen to migrate superiorly.

A posterior disc herniation with peridiscal osteophyte is noted at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing, right more than left. The L4-L5 facet joints show degenerative changes.

A postero-central disc herniation with peridiscal osteophytes is seen at the L3-L4 level with anterior indentation of the thecal sac. Bilateral far lateral disc bulges are also noted at this level. The L3-L4 facet joints show degenerative changes. The lumbar intervertebral discs show loss of water content.

Mild ligamentum flvum hypertrophy is noted at the L5 level.


The lumbar vertebral bodies reveal normal signal intensity. Transepiphyseal disc herniation is noted along the antero-superior margin of the L3 vertebral body. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12 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 :

14.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
7.0 mm at L5-S1.

IMPRESSION :

1. A left paracentral disc herniation at the L5-S1 level with mild indentation upon the traversing left S1 nerve root with superior migration of a disc fragment.

2. A posterior disc herniation with peridiscal osteophyte at the L4-L5 level with bilateral neural foraminal narrowing, right more than left and facetal arthropathy at this level.

3. A postero-central disc herniation with peridiscal osteophyte at the L3-L4 level.