sb/hs/nl/rg/
Date : 00.00.00

Name of the Patient : Abc Xyzhan lmn / M / 55 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE with paresthesias since 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.

6 mm thick T1 Weighted coronal images.

OBSERVATION :

There is loss of water content of the lumbar intervertebral discs.

There is scoliosis of the lumbar spine with convexity to the left. Resultant slight clockwise rotational anomaly of the lumbar vertebrae is noted. Fairly large, right lateral peridiscal osteophytes are noted on the right at the L2-L3 and L3-L4 levels.

A small posterior and left far lateral disc bulge is seen at the L5-S1 level.

A left paracentral and left postero-lateral disc herniation is noted at the L4-L5 level with left neural foraminal narrowing.



A right postero-lateral and right far lateral disc bulge is noted at the L3-L4 level with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L3 nerve root.

The facet joints at the L5-S1 level bilaterally, at the L4-L5 level on the left and at the L3-L4 level on the right
show hypertrophic degenerative changes with resultant lateral recess stenosis. Slight ligamentum flavum hypertrophy is also noted at the L5 vertebral level. Mild facetal hypertrophy is seen on the right at the L4-L5 level.

The lumbar vertebral bodies reveal normal signal intensity. 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 :

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

IMPRESSION :

1. Scoliosis of the lumbar spine with convexity to the left with resultant slight clockwise rotational anomaly of the lumbar vertebrae.

2. A small posterior and left far lateral disc bulge at the L5-S1 level.
..3/.








- 3 - Scan-00008


3. A left paracentral and left postero-lateral disc herniation at the L4-L5 level with left neural foraminal narrowing.

4. A right postero-lateral and right far lateral disc bulge at the L3-L4 level with right neural foraminal narrowing and indentation on the extraforaminal segment of the right L3 nerve root.

5. Hypertrophic facetal arthropathy at the L5-S1 level bilaterally, on the left at the L4-L5 level and on the right at the L3-L4 level with resultant lateral recess stenosis.