sb/hs
Date : 00.00.00

Name of the Patient : Abc Xyz Velmn / F / 64 yrs.
Referred by : Dr. Abc Xyzvade.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O low backpain with radiation to BLE and paresthesias since 3 1/2 months. Known C/O diabetic nephropathy, on renal dialysis.
EMG s/o sensory-motor peripheral neuropathy in the lower limbs.

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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is loss of water content of the D11-D12, L3-L4 and L2-L3 intervertebral discs.

Small, posterior disc bulges are noted at the L3-L4, L4-L5 and L5-S1 levels.

Slight facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels.









The lumbar vertebral bodies and the remaining intervertebral discs 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 L2 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
17.0 mm at L2-L3
12.0 mm at L3-L4
15.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. Small posterior disc bulges at the L3-L4, L4-L5 and L5-S1 levels.

2. Slight facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels with a tight canal at the L3-L4 and L4-L5 levels.