sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzhan R. Dhalmn / F / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 1 1/2 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 sacralization of the L5 vertebra.

There is loss of water content of the L2-L3, L3-l4 and L4-L5 intervertebral discs.

There is a left far lateral disc herniation at the L5-S1 level.

A small, postero-central protruded disc with peridiscal osteophyte is noted at the L4-L5 level. A left far lateral disc herniation is also noted at this level.

Left far lateral disc bulges are noted at the L2-L3 and L3-L4 levels.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints at the L4-L5 level appear slightly hypertrophied. The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S2 level.
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The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

18.0 mm at L1-L2
15.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. Sacralized L5 vertebra.

2. A left far lateral (extraforaminal) disc herniation at the L5-S1 level.

3. A small, postero-central protruded disc with peridiscal osteophyte at the L4-L5 level.

4. Left far lateral disc bulges at the L2-L3 and L3-L4 levels.