sb/bv
Date : 00.00.00
Name of the Patient : Abc Xyzba Chlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O tingling in the LLE since 00.00.00.
H/O fall prior to this from bed.
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 L3-L4 and L4-L5 intervertebral discs.
A small, postero-central protruded disc with peridiscal osteophytes is noted at the L4-L5 level.
A small posterior disc bulge with a left far lateral disc protrusion is noted at the L3-L4 level.
The facet joints at the D12-L1, L3-L4 and L4-L5 levels appear slightly hypertrophied.
Anterior peridiscal osteophytes are seen in the dorso-lumbar region.
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.
Scan-00007
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 :
16.0 mm at L1-L2
16.0 mm at L2-L3
14.0 mm at L3-L4
11.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
1. A small, postero-central protruded disc with peridiscal osteophytes at the L4-L5 level.
2. A small posterior disc bulge with a left far lateral disc protrusion at the L3-L4 level.
3. Facetal hypertrophy at the D12-L1, L3-L4 and L4-L5 levels.