ke/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzen Kadlmn / F / 75 yrs.
Referred by : Dr. Abc Xyzra.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE since 4 years.

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 a posterior and left far lateral disc herniation at the L3-L4 level with anterior indentation of the thecal sac and upon the extraforaminal portion of the exiting left L3 nerve root. The L3-L4 facet joints show mild degenerative changes (left more than right).

A small posterior disc herniation is noted at the L2-L3 level.

Anterior disc herniations are seen over the L1-L2 to L3-L4 levels.

A posterior disc bulge is seen at the L4-L5 level. Far lateral (extraforaminal) disc bulges are seen bilaterally at the L2-L3 and L4-L5 levels and on the right side at the L3-L4 level.

Mild facetal hypertrophy is seen bilaterally at the L4-L5 level and on the left side at the L5-S1 level.
Scan-00003

Schmorls nodes are seen at the L3-L4 level.

The lumbar intervertebral discs show loss of water content.

Hemangioma with fatty content is seen in the L3 vertebral body. Focal fatty changes are noted in the lumbar vertebrae.

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 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
17.0 mm at L3-L4
15.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

1. A posterior and left far lateral disc herniation at the L3-L4 level indenting the extraforaminal portion of the exiting left L3 nerve root and mild facetal arthropathy at this level.

2. A small posterior disc herniation at the L2-L3 level.