ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzl Usmalmn / M / 35 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 2 1/2 years.
H/O fall prior to this.

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 retrolisthesis of the L5 over the S1 vertebra.

There is a small postero-central disc herniation at the L5-S1 level with minimal indentation upon the left S1 nerve root.

A small posterior disc bulge with peridiscal osteophyte is seen at the L4-L5 level.

The L4-L5 and L5-S1 intervertebral discs show loss of water content.

The L3-L4 and L4-L5 facet joints show mild degenerative changes.

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 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 :

20.0 mm at L1-L2
18.0 mm at L2-L3
16.0 mm at L3-L4
16.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. Slight retrolisthesis of the L5 over the S1 vertebra.

2. A small postero-central disc herniation at the L5-S1 level with minimal indentation upon the left S1 nerve root.

3. A small posterior disc bulge with peridiscal osteophyte at the L4-L5 level.