sb/hs
Date : 00.00.00
Name of the Patient : Abc Xyzuklmn / F / 26 yrs.
Referred by : Dr. Abc Xyzrvekar / Dr. Abc Xyzdam.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low backpain, radiating to BLE (RLE more than the LLE) since 00.00.00.
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 slight loss of water content of the L4-L5 and L5-S1 intervertebral discs.
A small, postero-central herniated disc with posterior peridiscal osteophytes, more to the right of the midline is noted at the L4-L5 level.
A mild posterior disc bulge with small posterior peridiscal osteophytes are noted at the L5-S1 level.
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 :
19.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. A small, postero-central herniated disc with posterior
peridiscal osteophytes, more to the right of the midline at the L4-L5 level.
2. A mild posterior disc bulge with small posterior peridiscal osteophytes at the L5-S1 level.