sb/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz S. Shrlmn / F / 53 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE and numbness 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.

OBSERVATION :

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

A postero-central protruded disc is noted at the L5-S1 level.

Small left postero-lateral and left far lateral disc bulges are noted at the L4-L5 level.

A right postero-lateral disc herniation is noted at the L2-L3 level indenting the extraforaminal segment of the exiting right L2 nerve root. The right L2-L3 facet joint shows degenerative changes.

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 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 :

18.0 mm at L1-L2
19.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. A right postero-lateral disc herniation at the L2-L3 level indenting the extraforaminal segment of the exiting right L2 nerve root. Also seen is facetal arthropathy on the right side at this level.

2. A postero-central protruded disc at the L5-S1 level.

3. Small left postero-lateral and left far lateral disc bulges at the L4-L5 level.