sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzben Palmn / F / 72 yrs.
Referred by : Dr. Abc Xyz. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with numbness since 1 1/2 months.

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 L3-L4, L4-L5 and L5-S1 discs and slight loss of water content of the L1-L2 disc.

Posteriorly bulging discs with posterior peridiscal osteophytes are noted at the L3-L4, L4-L5 and L5-S1 levels. Bilateral far lateral disc bulges are noted at the L5-S1 level. A small, left postero-lateral protruded disc is noted at the L4-L5 level, narrowing the left neural foramen.

A small postero-central disc herniation is seen at the L1-l2 level.

Hypertrophic facetal arthropathy is noted at the L4-L5 and L5-S1 levels bilaterally.








Type II degenerative marrow changes are noted adjacent to the L5-S1 intervertebral disc.

The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.

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

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

17.0 mm at L1-L2
21.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. Posteriorly bulging discs with posterior peridiscal osteophytes at the L3-L4, L4-L5 and L5-S1 levels. Bilateral far lateral disc bulges are noted at the L5-S1 level.

2. A small, left postero-lateral protruded disc at the L4-L5 level, narrowing the left neural foramen.

3. A small postero-central disc herniation at the L1-L2 level.

4. Hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels bilaterally.