sb/ke
Date : 00.00.00

Name of the Patient : Abc XyzHirllmn / M / 52 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE 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 slight loss of water content of the D10-D11, L3-L4 and L4-L5 intervertebral discs.

There is seen a posteriorly herniated disc with a posterior peridiscal osteophyte at the L4-L5 level, with bilateral neural foraminal narrowing. A sequestered disc fragment is noted in the left lateral recess of L5, indenting the traversing left L5 nerve root.

A small posterior disc bulge with slight left neural foraminal narrowing is noted at the L3-L4 level.

Facetal hypertrophy is noted at the D10-D11, D11-D12, L3-L4 and L4-L5 levels.






Focal fatty changes are seen in the L3 and L4 vertebral bodies.

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

The conus medullaris terminates at the D12-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 :

17.0 mm at L1-L2
16.0 mm at L2-L3
12.0 mm at L3-L4
11.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. A posteriorly herniated disc with a posterior peridiscal osteophyte at the L4-L5 level, with bilateral neural foraminal narrowing. A sequestered disc fragment is noted in the left lateral recess of L5, indenting the traversing left L5 nerve root.

2. A small posterior disc bulge with slight left neural foraminal narrowing at the L3-L4 level.

3. Facetal hypertrophy at the D10-D11, D11-D12, L3-L4 and L4-L5 levels.