sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / M / 47 yrs.
Referred by : Dr. Abc Xyzehta.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain to the LLE with numbness.

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 L4-L5 and L5-S1 intervertebral discs.

There is a fairly large, left paracentral extruded disc at the L4-L5 level with impingement of the traversing left L5 nerve root.

A postero-central protruded disc is noted at the L5-S1 level.

The articular facets at the L4-L5 and L5-S1 levels appear hypertrophied. Bilateral far lateral (extraforaminal) disc bulges are seen at these levels.

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.



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 :

18.0 mm at L1-L2
17.0 mm at L2-L3
18.0 mm at L3-L4
10.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. A fairly large, left paracentral extruded disc at the L4-L5 level with impingement of the traversing left L5 nerve root and resultant canal stenosis.

2. A postero-central protruded disc at the L5-S1 level.

3. Facetal hypertrophy at the L4-L5 and L5-S1 levels.