sb/hs
Date : 00.00.00

Name of the Patient : Abc Xyza M. Qurlmn / F / 56 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 0000.

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 water content of the L2-L3, L4-L5 and L5-S1 discs.

There is a left paracentral disc herniation at the L5-S1 level, indenting the traversing left S1 nerve root.

A fairly large, postero-central and right paracentral disc herniation is noted at the L4-L5 level, with thecal sac compression and indentation on the traversing right L5 nerve root. The right L5 nerve root is probably inflamed. Bilateral neural foraminal narrowing is noted at the L4-L5 level.

A left and right postero-lateral disc bulge is noted at the L3-L4 level, with bilateral neural foraminal narrowing.







The pedicles of the lower lumbar vertebrae appear congenitally short in their antero-posterior dimensions.

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 :

16.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
8.0 mm at L4-L5
8.0 mm at L5-S1.

IMPRESSION :

1. A left paracentral disc herniation at the L5-S1 level, indenting the traversing left S1 nerve root.

2. A fairly large, postero-central and right paracentral disc herniation at the L4-L5 level, indenting the right L5 nerve root, which is probably inflamed.

3. Left and right postero-lateral disc bulges at the L3-L4 level.

4. Congenitally short pedicles of the lower lumbar vertebrae with canal stenosis at the L4-L5 and L5-S1 levels.