ke/bv/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz Salmn / M / 35 yrs.
Referred by : Dr. Abc Xyzoshi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O pain in the entire spine with radiation of pain to the RUE and RLE and paresthesias (on and off) 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 :
Small posterior disc bulges with small peridiscal osteophytes are seen at the L4-L5 and L5-S1 levels with anterior indentation of the thecal sac.
The L5-S1 facet joints show mild degenerative changes.
The lumbar vertebral bodies and the 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 S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
16.0 mm at L2-L3
17.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
Small posterior disc bulges with small peridiscal osteophytes at the L4-L5 and L5-S1 levels.