bv/ke
Date : 00.00.00
Name of the Patient : Abc Xyzhlmn / M / 42 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (right more than left).
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 mild loss of water content of the L5-S1 and D12-L1 intervertebral discs.
There is a fairly large postero-central disc extrusion with peridiscal osteophytes at the L5-S1 level with ventral indentation of the thecal sac and canal stenosis. Mild hypertrophic changes of the facet joints and mild ligamentum flavum hypertrophy is also seen at the L5-S1 level.
The lumbar vertebral bodies and the remaining intervertebral discs 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 L2 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 :
15.0 mm at L1-L2
....2/.
- 2 -
15.0 mm at L2-L3
14.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.
IMPRESSION :
A fairly large postero-central disc extrusion with peridiscal osteophytes at the L5-S1 level with hypertrophy of the facet joints and ligamentum flavum hypertrophy with resultant canal stenosis.