ke/hs
Date : 00.00.00
Name of the Patient : Abc Xyzui A. Ralmn / M / 27 yrs.
Referred by : Dr. Abc Xyzin.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE since 1 week.
Alleged H/O fall 7 years back.
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 a small posterior disc herniation at the L5-S1 level. This disc shows loss of water content.
A small posterior and left far lateral (extraforaminal) disc bulge is seen at the L4-L5 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 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
20.0 mm at L1-L2
18.0 mm at L2-L3
...2/..
- 2 -
18.0 mm at L3-L4
15.0 mm at L4-L5
16.0 mm at L5-S1.
IMPRESSION :
1. A small posterior disc herniation at the L5-S1 level.
2. A small posterior and left far lateral (extraforaminal) disc bulge at the L4-L5 level.