sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since February 0000.

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 L3-L4 and L4-L5 intervertebral discs.

There is a fairly large left paracentral extruded disc at the L4-L5 level with left neural foraminal narrowing. A sequestered disc fragment is noted in the left lateral recess of L5, indenting the left L5 nerve root. There is also narrowing of the left neural foramen at this level with indentation upon the left foraminal L4 nerve root.

A small postero-central disc herniation is noted at the L3-L4 level.

Slight hypertrophy of the facet joints is noted at the L3-L4 and L4-L5 levels.

- 2 - Scan-00004


The pedicles of the L3 and L4 vertebrae appear short in their antero-posterior dimensions.

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-L1 level and the thecal sac terminates at the S1-S2 level.

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

19.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
11.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebra.

2. A fairly large left paracentral extruded disc at the L4- L5 level indenting the foraminal left L4 nerve root with a sequestered disc fragment in the left lateral recess of L5, indenting the left L5 nerve root.

3. A small postero-central disc herniation at the L3-L4 level.

4. Slight hypertrophy of the facet joints at the L3-L4 and L4-L5 levels.