sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzati Ralmn / F / 40 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with radiation of pain to BLE.

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 :

The lumbar intervertebral discs show loss of water content.

A postero-central disc herniation is seen to indent the thecal sac at the L4-L5 level. Also seen are right postero-lateral and right far lateral disc herniations with slight right neural foraminal narrowing at the L4-L5 level.

Left postero-lateral and left far lateral disc herniations are seen to narrow the left neural foramen at the L3-L4 level.

The L3-L4 and L4-L5 facet joints show hypertrophic degenerative changes. The L5-S1 facet joint shows mild degenerative changes.

A mild posterior disc bulge is seen at the L5-S1 level.

The lumbar vertebral bodies reveal normal signal intensity. The remaining 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 S2 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
16.0 mm at L2-L3
15.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc herniation at the L4-L5 level.

2. Right postero-lateral and right far lateral disc herniations at the L4-L5 level.

3. Left postero-lateral and left far lateral disc herniations at the L3-L4 level.

4. Hypertrophic facetal arthropathy at the L3-L4 and L4-L5 levels.