sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyza Chlmn / M / 68 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O occasional backache since 1 month.
C/O radicular pain to BLE with paresthesias.

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 sacralization of the L5 vertebra which is as marked on the film.

There is loss of water content of all the lumbar intervertebral discs except the L1-L2 disc.

There is a generalized posteriorly herniated disc at the L4-L5 level with bilateral neural foraminal narrowing. Slight facetal and ligamentum flavum hypertrophy is noted at this level with resultant canal stenosis.

Posteriorly bulging discs with posterior peridiscal osteophytes are noted at the L2-L3 and L3-L4 levels. Bilateral neural foraminal narrowing is noted at these levels.







Slight facetal hypertrophy is noted at the L3-L4 level with tight lumbar canal at this level.

The lumbar vertebral bodies show spotty fatty marrow changes.
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 :

14.0 mm at L1-L2
13.0 mm at L2-L3
13.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.

Incidentally noted is a left sided cortical renal cyst.

IMPRESSION :

1. Sacralization of the L5 vertebra which is as marked on the film.

2. A generalized posteriorly herniated disc at the L4-L5 level with bilateral neural foraminal narrowing and slight facetal and ligamentum flavum hypertrophy at this level with resultant canal stenosis.

3. Posteriorly bulging discs with posterior peridiscal osteophytes at the L2-L3 and L3-L4 levels with slight facetal hypertrophy at the L3-L4 level with tight lumbar canal.