ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzJ. Galmn / M / 55 yrs.
Referred by : Dr. Abc Xyzonawalla.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE with paresthesias since 3 weeks.

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 are posterior and bilateral postero-lateral disc herniations at the L2-L3 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing (left greater than right). There is indentation upon the foraminal portion of the left L2 nerve root. This disc appears reduced in height.

A small posterior disc bulge with bilateral postero-lateral disc herniations are seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. Mild indentation upon the extraforaminal portion of the left L4 nerve root is seen.

A small left far lateral disc bulge is noted at the L5-S1 level with mild indentation upon the extraforaminal portion of the left L5 nerve root.

A small posterior disc bulge is seen at the L3-L4 level.

The lumbar intervertebral discs except for the L1-L2 intervertebral disc show loss of water content.
..2/.








The L2-L3, L3-L4 and L4-L5 facet joints show mild degenerative changes.

The pedicles of the L2, L3 and L4 lumbar vertebrae appear congenitally short in their antero-posterior dimensions.

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 :

14.0 mm at L1-L2
7.0 mm at L2-L3
11.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Posterior and bilateral postero-lateral disc herniations at the L2-L3 level with indentation upon the foraminal portion of the left L2 nerve root and the thecal sac.
..3/.














- 3 - Scan-00003



2. A small posterior disc bulge with bilateral postero-lateral disc herniations at the L4-L5 level with mild indentation upon the extraforaminal portion of the left L4 nerve root.

3. A left far lateral disc bulge at the L5-S1 level with indentation upon the left L5 nerve root.

4. Mild facetal arthropathy at the L2-L3, L3-L4 and L4-L5 levels.

5. Congenitally short pedicles of the L2, L3 and L4 lumbar vertebrae in their antero-posterior dimensions.