hs/bv
Date : 00.00.00

Name of the Patient : Abc XyzPlmn / M / 63 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache on the right side 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.

OBSERVATION :

There is loss of water content of the lumbar intervertebral discs except L1-L2 and L3-L4 intervertebral discs.

here is mild retroplacement of the L4 over the L5 and L2 over the L3 vertebrae.

A postero-central disc herniation is seen to indent the thecal sac at the L5-S1 level.

There is a postero-central disc protrusion at the L4-L5 level and a posterior disc bulge with small posterior peridiscal osteophytes at the L2-L3 level.

Bilateral far lateral (extraforaminal) disc bulges are noted at the L3-L4, L4-L5 and L5-S1 levels.

The L5-S1 facet joints show mild degenerative changes.



A focal area of hyperintensity on all the pulse sequences is seen within the L1 vertebral body and this may represent a hemangioma with high fat content.

There are spotty areas of fatty replacement of normal marrow within the lumbar vertebral bodies.

Anterior disc herniations with peridiscal osteophytes are seen over the D10-D11 to L2-L3 levels.

The remaining 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-S3 level.

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

18.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
15.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A postero-central disc herniation with mild facetal arthropathy at the L5-S1 level.

2. A postero-central disc protrusion at the L4-L5 level.