sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzli Slmn / M / 30 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with paresthesias in the RLE since 2-3 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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is probable sacralization of the L5 vertebra and the L3 vertebral body is as marked on the film.

There is slight loss of water content of the L4-L5 intervertebral disc.

There is postero-central and right paracentral disc herniation with peridiscal osteophytes at the L4-L5 level indenting the traversing right L5 nerve root. Slight facetal hypertrophy is noted at the L4-L5 level.

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 S1 level.


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

17.0 mm at L1-L2
17.0 mm at L2-L3
16.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. Probable sacralization of the L5 vertebra and the L3 vertebral body is as marked on the film.

2. Postero-central and right paracentral disc herniation with peridiscal osteophytes at the L4-L5 level indenting the traversing right L5 nerve root with slight facetal hypertrophy at that level.