ke/sb
Date : 00.00.00

Name of the Patient : Abc XyzBhlmn / F / 38 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 15 days.

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.

A FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is loss of normal lumbar curvature.

There is a posterior disc herniation at the L4-L5 level with anterior indentation of the thecal sac and left neural foraminal narrowing. A portion of the disc is seen to migrate inferiorly and indent the traversing left L5 nerve root.

Small right postero-lateral disc bulges are noted at the L3-L4 and L5-S1 levels.

The L2-L3, L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.

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 D12 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 :

19.0 mm at L1-L2

17.0 mm at L2-L3

14.0 mm at L3-L4

10.0 mm at L4-L5

12.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A posterior disc herniation at the L4-L5 level with a portion of the disc seen to migrate inferiorly and indent the traversing left L5 nerve root.

2. Small right postero-lateral disc bulges at the L3-L4 and L5-S1 levels.