Date : 00.00.00

Name of the Patient : Abc XyzAlmn / F / 53 yrs.
Referred by : Dr. Abc Xyz Gandhi.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 6 months.

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 slight retroplacement of the L3 over the L4 vertebra.

A pseudoposterior disc herniation is seen at the L3-L4 level with anterior indentation of the thecal sac. A left far lateral (extraforaminal) disc herniation is also seen at this level.

Small posterior disc bulge is seen at the L5-S1 level. The lumbar intervertebral discs show loss of water content.

The facet joints show mild degenerative changes at the L4-L5 level.

The lumbar vertebral bodies show 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 D12 level and the thecal sac terminates at the S2 level.
...2/..












- 2 -


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

19.0 mm at L1-L2

18.0 mm at L2-L3

17.0 mm at L3-L4

16.0 mm at L4-L5

12.0 mm at L5-S1.

The S. I. joints were screened with 5 mm thick T1 Weighted and STIR coronal images which shows hypointense areas in the sacral and iliac bones bilaterally adjacent to the sacro-iliac joints bilaterally with narrowing of the joint space bilaterally. Subtle hyperintense signal on the STIR images may represent edema.

IMPRESSION :

1. Slight retroplacement of the L3 over the L4 vertebra.

2. A pseudoposterior and a left far lateral disc herniation at the L3-L4 level.

3. Bilateral sacro-ilitis ? etiology.