sb/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz A.M. Bhojlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzdy.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (upto the knee) since 00.00.00.
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 clockwise rotation of the lumbar vertebral bodies.
There is a small postero-central protruded disc with peridiscal osteophytes at the L5-S1 level.
There is a small left far lateral (foraminal and extraforaminal) disc herniation at the L4-L5 level indenting the extraforaminal segment of the left L4 nerve root.
An anterior peridiscal osteophyte is seen at the L1-L2 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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 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
17.0 mm at L2-L3
18.0 mm at L3-L4
19.0 mm at L4-L5
20.0 mm at L5-S1.
IMPRESSION :
1. A small postero-central protruded disc with peridiscal osteophytes at the L5-S1 level.
2. A small left far lateral (foraminal and extraforaminal) disc herniation at the L4-L5 level indenting the extraforaminal segment of the left L4 nerve root.