sb/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Galmn / F / 52 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

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

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 L3-L4 and L4-L5 intervertebral disc.

There is seen a right paracentral disc herniation at the L4-L5 level with slight inferior migration of the disc fragment indenting the traversing right L5 nerve root. Bilateral far lateral (extraforaminal) disc bulges are seen at this level.

The articular facets at the L4-L5 and L5-S1 levels appear slightly hypertrophied.

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 :

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

Screening images of the sacro-iliac joints are unremarkable.

IMPRESSION :

1. Degenerated L4-L5 disc with a right paracentral disc herniation at the L4-L5 level, with slight inferior migration of the disc fragment indenting the traversing right L5 nerve root.

2. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels.