sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzash Dlmn / M / 34 yrs.
Referred by : Dr. Abc Xyzosle.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 1 month.

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 and L4-L5 intervertebral discs.

There is a fairly large, right paracentral extruded disc at the L4-L5 level with thecal sac compression. Slight inferior migration of the disc fragment is noted indenting the traversing right L5 nerve root.

Focal fatty marrow changes are noted along the antero-superior margin of the L4 vertebral body with an anterior disc herniation
at that level.

The rest of 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 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
16.0 mm at L2-L3
17.0 mm at L3-L4
8.0 mm at L4-L5
11.0 mm at L5-S1.

Screening T2 Weighted sagittal images of the dorsal spine do not reveal significant feature of note.

IMPRESSION :

A fairly large, right paracentral extruded disc at the L4-L5 level with slight inferior migration of the disc fragment indenting the traversing right L5 nerve root.