sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzh Gumanslmn / F / 60 yrs.
Referred by : Dr. Abc Xyz Patel.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain in BLE (left more than right) with mild paresthesias since 8-10 days.

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 upper lumbar intervertebral discs.

Small postero-central protruded discs are noted at the L5-S1 and the L1-L2 levels. Bilateral far lateral disc bulges are noted at the L5-S1 level.

A small left far lateral disc bulge is noted at the L3-L4 level and a posterior disc bulge is identified at the L4-L5 level.

Slight facetal and ligamentum flavum hypertrophy is noted at the L5-S1 and L4-L5 levels.

Type II degenerative marrow changes are noted in the L5 vertebral body adjacent to the L5-S1 intervertebral disc.

Anterior disc herniations are seen in the upper lumbar region with peridiscal osteophytes.

..2/.







The rest of 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.

Fat is identified in the filum over the L4 and L5 vertebral levels which may be a normal variant.

The conus medullaris terminates at the 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 :

15.0 mm at L1-L2
13.0 mm at L2-L3
14.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. Small postero-central protruded discs at the L5-S1 and the L1-L2 levels.

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