sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzni Slmn / F / 71 yrs.
Referred by : Dr. Abc Xyzrvekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain in the LLE on walking since 6 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 lumbar intervertebral discs.

Small posterior and right far lateral disc bulges with peridiscal osteophytes are noted at the L4-L5 and L5-S1 levels. Minimal indentation on the extraforaminal segment of the right L5 nerve root at the L5-S1 level is noted.

Slight facetal and ligamentum flavum hypertrophy is noted at the L4-L5 level and slight facetal hypertrophy is noted at the L3-L4 level.

Anterior disc herniations with anterior peridiscal osteophytes are seen in the dorso-lumbar region.

The lumbar vertebral bodies 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-L2 level and the thecal sac terminates at the S1 level.
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The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

20.0 mm at L1-L2

19.0 mm at L2-L3

18.0 mm at L3-L4

14.0 mm at L4-L5

13.0 mm at L5-S1.

Screening , T2 Weighted sagittal images of the dorsal spine do not reveal any significant feature of note.

IMPRESSION :

1. Small posterior and right far lateral disc bulges with peridiscal osteophytes at the L4-L5 and L5-S1 levels with minimal indentation on the extraforaminal segment of the right L5 nerve root at the L5-S1 level.

2. Slight facetal and ligamentum flavum hypertrophy at the L4-L5 level and slight facetal hypertrophy at the L3-L4 level.