ke/sb/nl/rg
Date : 00.00.00

Name of the Patient : Abc XyzGlmn / M / 50 yrs.
Referred by : Dr. Abc Xyzolakia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE 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 forward translation of the L5 over the S1 vertebra (kindly correlate with plain radiographs to R/O spondylolysis).

A small pseudo-posterior disc herniation is seen at the L5-S1 level.

Small posterior disc bulge is noted at the L4-L5 level. The lower dorsal, L4-L5 and L5-S1 intervertebral discs show loss of water content.

The L4-L5 facet joints show 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 D12 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
17.0 mm at L2-L3
14.0 mm at L3-L4
13.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. Slight forward translation of the L5 over the S1 vertebra (kindly correlate with plain radiographs to R/O spondylolysis).

2. A small pseudo-posterior disc herniation at the L5-S1 level.

3. Small posterior disc bulge at the L4-L5 level.

4. Degenerative changes of the L4-L5 facet joints.