sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzen lmn / F / 52 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE (left more than right) since 9 months.

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 the upper lumbar intervertebral discs.

Minimal posterior disc bulges are noted at the L4-L5 and L5-S1 levels. Small anterior disc herniations are noted at the L3-L4 and L4-L5 levels.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized right 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 :

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

Incidentally noted are multiple lobulated soft tissue lesions in the prevertebral and left paravertebral regions over the L2 to L4 vertebral levels. These are of intermediate signal intensity on the T1 Weighted images and turn heterogeneously hyperintense on the T2 Weighted images and most likely represent enlarged lymphnodes. Also noted is a soft tissue mass lesion in the region of the left kidney which needs to be investigated further.

IMPRESSION :

1. Sacralization of the L5 vertebra.

2. Minimal posterior disc bulges at the L4-L5 and L5-S1 levels.

3. Multiple lobulated soft tissue lesions in the prevertebral and left paravertebral regions over the L2 to L4 vertebral levels most likely represent enlarged lymphnodes. Also noted is a soft tissue mass lesion in the region of the left kidney which needs to be investigated further.