sb/ke/nl
Date : 00.00.00

Name of the Patient : Abc Xyz D. Glmn / F / 45 yrs.
Referred by : Dr. Abc XyzBhojraj.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE 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 :

A posteriorly herniated disc with peridiscal osteophyte is noted at the L4-L5 level with bilateral neural foraminal narrowing. Bilateral far lateral disc bulges are also noted with indentation upon the extraforaminal segment of the left L4 nerve root. This disc shows loss of water content.

Slight hypertrophy of the L3-L4 and L4-L5 facet joints is noted with minimal fluid in the L4-L5 facet joints.

Type II degenerative marrow changes are noted adjacent to the L4-L5 intervertebral disc.

The rest of 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.
Scan-00003



The conus medullaris terminates at the D12-L1 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 :

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

The T1 Weighted coronal images of the S. I. joints do not reveal any significant feature of note.

IMPRESSION :

Degenerated L4-L5 disc with a posteriorly herniated disc with peridiscal osteophyte at that level. Bilateral far lateral disc bulges are also noted with indentation upon the extraforaminal portion of the left L4 nerve root.