hs/ke
Date : 00.00.00

Name of the Patient : Abc Xyzmal H. Hilmn / M / 57 yrs.
Referred by : Dr. Abc Xyzdhani.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias.

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 :

The L5 vertebra appears to be as marked on the film. Please correlate with plain radiographs.

There is scoliosis of the lumbar spine with convexity to the left.

There is mild retroplacement of the L3 over the L4 and L4 over the L5 vertebrae.

Posterior disc herniations with peridiscal osteophytes are seen to indent the thecal sac and narrow both neural foramina at the L3-L4 and L4-L5 levels. Also seen are bilateral far lateral (extraforaminal) disc herniations at these levels.

A small posterior disc herniation with peridiscal osteophytes is seen to indent the thecal sac and narrow both neural foramina at the L2-L3 level. Also seen is a small postero-central disc herniation at the L1-L2 level. There are posterior disc bulges at the D11-D12 and D12-L1 levels.


Left far lateral (extraforaminal) disc herniations are seen to indent the extraforaminal portion of the exiting left D12 and L1 nerve roots at the D12-L1 and L1-L2 levels, respectively.

The L3-L4 and L4-L5 facet joints show hypertrophic degenerative changes. Also seen is ligamentum flavum hypertrophy with resultant canal stenosis at these levels.

Bilateral far lateral (extraforaminal) disc bulges are noted at the L1-L2 and L2-L3 levels.

There are anterior disc herniations with peridiscal osteophytes at the L2-L3, L3-L4 and L4-L5 levels. The lumbar intervertebral discs show loss of water content. The lumbar vertebral bodies show areas of fatty replacement of normal marrow.

The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S1-S2 level.

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

11.0 mm at L1-L2

9.0 mm at L2-L3

8.0 mm at L3-L4

6.0 mm at L4-L5

10.0 mm at L5-S1.
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- 3 - Scan-00001


IMPRESSION :

The MRI features are suggestive of :

1. Posterior disc herniations with peridiscal osteophytes, hypertrophic facetal arthopathy and ligamentum flavum hypertrophy with canal stenosis at the L3-L4 and L4-L5 levels.

2. Bilateral far lateral (extraforaminal) disc herniations at the L3-L4 and L4-L5 levels.

3. Left far lateral (extraforaminal) disc herniations indenting the extraforaminal portion of the exiting left D12 and L1 nerve roots at the D12-L1 and L1-L2 levels, respectively.

4. Bilateral far lateral (extraforaminal) disc bulges at the L1-L2 and L2-L3 levels.