sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzevi Glmn / F / 32 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE with paresthesias since 6-7 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.

OBSERVATION :

There is loss of water content of the L4-L5 and L5-S1 intervertebral discs.

There is a fairly large, right paracentral extruded disc with a peridiscal osteophyte at the L5-S1 level with slight inferior migration of the disc fragment with impingement of the traversing right S1 nerve root.

A postero-central and left postero-lateral disc herniation with a peridiscal osteophyte is noted at the L4-L5 level with left neural foraminal narrowing and impingement of the traversing left L5 nerve root.

The facet joints at the L4-L5 and L5-S1 levels bilaterally show slight hypertrophic degenerative changes.

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.
- 2 - Scan-00004



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 :

15.0 mm at L1-L2
14.0 mm at L2-L3
16.0 mm at L3-L4
11.0 mm at L4-L5
7.0 mm at L5-S1.

IMPRESSION :

1. A fairly large, right paracentral extruded disc with a peridiscal osteophyte at the L5-S1 level with slight inferior migration of the disc fragment with impingement of the traversing right S1 nerve root.

2. A postero-central and left postero-lateral disc herniation with a peridiscal osteophyte at the L4-L5 level with left neural foraminal narrowing and impingement of the traversing left L5 nerve root.

3. Slight hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels, bilaterally.