sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xlmn / M / 36 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 3-1/2 years.

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 normal lumbar lordosis and loss of water content of the L4-L5 and L5-S1 intervertebral discs.

There is a fairly large, postero-central and left paracentral extruded disc with a peridiscal osteophyte at the L5-S1 level with indentation upon the traversing left S1 nerve root.

A small, postero-central protruded disc with peridiscal osteophyte is noted at the L4-L5 level.

A left postero-lateral peridiscal osteophyte is noted at the L3-L4 level (scan 105.10, 104.8).

Type II degenerative marrow changes are noted adjacent to the L5-S1 disc.
Scan-00008


The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12-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 :

18.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
5.0 mm at L5-S1.

No significant abnormality is detected on the screening images of the sacro-iliac joints.

IMPRESSION :

1. A fairly large, postero-central and left paracentral extruded disc with a peridiscal osteophyte at the L5-S1 level with indentation upon the traversing left S1 nerve root.

2. A small, postero-central protruded disc with peridiscal osteophyte at the L4-L5 level.