hs/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Pilmn / F / 58 yrs.
Referred by : Dr. Abc Xyzlkarni.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE since 4 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.

OBSERVATION :

The lumbar intervertebral discs show loss of water content and the L5-S1 intervertebral disc is decreased in height.

A posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina (left more than right) at the L4-L5 level.

A smaller, posterior disc herniation is seen to narrow both the neural foramina at the L5-S1 level.

Small posterior peridiscal osteophytes are seen at the L4-L5 and L5-S1 levels.

Bilateral far lateral (extraforaminal) disc herniations are seen at the L4-L5 and L5-S1 levels.

Posteriorly bulging discs are noted at the D11-D12 and D12-L1 levels.

The lumbar facet joints over the L4-L5 and L5-S1 levels show mild degenerative changes.
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The lumbar vertebral bodies show areas of fatty replacement of normal marrow and Type II degenerative changes.

Schmorls nodes are noted in the antero-superior aspect of the L3 and L4 vertebral bodies.

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 :

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

IMPRESSION :

The MRI features are suggestive of :

1. A posterior disc herniation at the L4-L5 level.

2. A smaller, posterior disc herniation at the L5-S1 level.

3. Mild facetal arthropathy at the L4-L5 and L5-S1 levels.

4. Bilateral far lateral (extraforaminal) disc herniations at the L4-L5 and L5-S1 levels.