ke/bv
Date : 00.00.00
Name of the Patient : Abc Xyz Ralmn / M / 40 yrs.
Referred by : Dr. Abc Xyzolakia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 3 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 are small posterior disc herniations at the L4-L5 and L5-S1 levels. There is anterior indentation of the thecal sac and right neural foraminal narrowing at the L4-L5 level. These intervertebral discs show loss of water content.
Schmorls node is seen in the superior aspect of the D11 vertebra. The L5-S1 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-L2 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
9.0 mm at L5-S1.
IMPRESSION :
1. Small posterior disc herniations at the L4-L5 and L5-S1 levels.
2. Mild degenerative changes of the L5-S1 facet joints.