ke/sb
Date : 00.00.00

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

CLINICAL PROFILE :

C/O backache 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 posterior and right far lateral disc herniation at the L5-S1 level with mild indentation upon the extraforaminal portion of the right L5 nerve root.

A small posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.

A small posterior disc bulge with a right postero-lateral disc herniation is noted at the L3-L4 level with right neural foraminal narrowing.

A small right paracentral disc protrusion with peridiscal osteophyte is seen at the L2-L3 level and a small postero-central disc protrusion with peridiscal osteophyte at the L1-L2 level.

Posterior peridiscal osteophytes are noted at the L1-L2 and L5-S1 levels.

Anterior disc herniations are noted at the L2-L3, L3-L4 and L5-S1 levels. The lumbar intervertebral discs show loss of water content.
..2/.




Slight central wedging of the L2 vertebral body is noted without change in signal intensity.

The lumbar vertebral bodies 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 :

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

IMPRESSION :

1. Posterior and right far lateral disc herniation at the L5-S1 level with mild indentation upon the extraforaminal portion of the right L5 nerve root.

2. A small posterior disc herniation at the L4-L5 level with bilateral neural foraminal narrowing.

3. A small posterior disc bulge with a right postero-lateral disc herniation at the L3-L4 level with right neural foraminal narrowing.

4. A small right paracentral disc protrusion with peridiscal osteophyte at the L2-L3 level and a small postero-central disc protrusion with peridiscal osteophyte at the L1-L2 level.

5. Posterior peridiscal osteophytes at the L1-L2 and L5-S1 levels.