sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzam Jailmn / M / 40 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 3 years.

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 normal lumbar lordosis and slight loss of water content of the L3-L4 and L4-L5 intervertebral discs.

Small posterior disc bulges are noted at the L2-L3, L3-L4 and L4-L5 levels.

Slight facetal hypertrophy is noted at the L4-L5 and L5-S1 levels. Hyperintense signal on all the pulse sequences seen within the L2-L3, L3-L4 and L4-L5 facet joints may represent ossification.

Anterior disc herniations with anterior peridiscal osteophytes are seen at the L3-L4 and L4-L5 levels.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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
14.0 mm at L2-L3
13.0 mm at L3-L4
13.0 mm at L4-L5
13.0 mm at L5-S1.

Screening T1 Weighted coronal images of the sacro-iliac joints do not show any significant feature of note.

IMPRESSION :

1. Small posterior disc bulges at the L2-L3, L3-L4 and L4-L5 levels.

2. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels.

3. Probable ossification of the L2-L3, L3-L4 and L4-L5 facet joints.