hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzLimboowlmn / F / 80 yrs.
Referred by : Dr. Abc Xyzwalla.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with numbness in both soles.

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 posterior disc bulge with small peridiscal osteophytes indenting the thecal sac and narrowing both neural foramina at the L4-L5 level.

Bilateral far lateral (extraforaminal) disc herniations are seen at the L4-L5 and L5-S1 levels with indentation upon the extraforaminal portion of the exiting L5 nerve roots at the L5-S1 level.

Bilateral postero-lateral (foraminal) disc herniations with peridiscal osteophytes are seen to narrow both neural foramina at the L5-S1 level.

Small postero-lateral (foraminal) and far lateral (extraforaminal) disc bulges are noted at the L3-L4 level. Small far lateral (extraforaminal) disc bulges are also seen at the L2-L3 level.

The L4-L5 and L5-S1 facet joints show hypertrophic degenerative changes. Ligamentum flavum hypertrophy is noted at these levels. The L1-L2, L2-L3 and L3-L4 facet joints show degenerative changes.
..2/.







The lumbar intervertebral discs reveal loss of water content. Type II degenerative changes are seen within the lumbar vertebral bodies. There is slight atrophy of the paraspinal muscles.

The visualized pre and paravertebral soft tissues are unremarkable.

The dorsal spine was screened with 5 mm thick T2 Weighted sagittal images and shows a slight exaggeration of the normal kyphotic curve. The visualized dorsal spine shows mild degenerative changes.

The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.

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
12.0 mm at L3-L4
15.0 mm at L4-L5
14.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A posterior disc bulge with small peridiscal
osteophytes at the L4-L5 level.

2. Bilateral far lateral (extraforaminal) disc
herniations at the L4-L5 and L5-S1 levels.
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- 3 - Scan-00004




3. Bilateral postero-lateral disc herniations with
peridiscal osteophytes at the L5-S1 level.

4. Hypertrophic facetal arthropathy and ligamentum flavum
hypertrophy with a tight canal at the L4-L5 and L5-S1
levels.

5. Facetal arthropathy at the L1-L2, L2-L3 and L3-L4
levels.