ke/sb
Date : 00.00.00

Name of the Patient : Abc XyzMilmn / F / 50 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 1 year.

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 loss of water content of the L4-L5 and L5-S1 intervertebral discs.

There is a postero-central disc herniation at the L4-L5 level with anterior indentation of the thecal sac and mild bilateral neural foraminal narrowing. There is resultant canal stenosis. Small disc portion is seen to migrate inferiorly.

There is a small postero-central disc herniation at the L5-S1 level with mild indentation upon the S1 nerve roots bilaterally.

Small postero-central disc herniation is seen at the L3-L4 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.
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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 :

16.0 mm at L1-L2

16.0 mm at L2-L3

12.0 mm at L3-L4

7.0 mm at L4-L5

7.0 mm at L5-S1.

Multiple paraaortic, interaorticocaval and retrocaval lymphnodes are noted.

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc herniation at the L4-L5 level with resultant canal stenosis.

2. A small postero-central disc herniation at the L5-S1 level with mild indentation upon the S1 nerve roots bilaterally.

3. Small postero-central disc herniation at the L3-L4 level.

4. Multiple paraaortic, interaorticocaval and retrocaval lymphnodes noted.