Date : 00.00.00
Name of the Patient : Abc Xyz Pallmn / F / 46 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE.
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.
There is slight loss of water content of the lumbar intervertebral discs.
There is a posterior and left postero-lateral disc bulge with peridiscal osteophyte at the L5-S1 level. Indentation on the extraforaminal segment of the left L5 nerve root is noted. Slight facetal hypertrophy is also noted at this level.
A posteriorly bulging disc is noted at the L4-L5 level with bilateral neural foraminal narrowing.
Anterior disc herniations with anterior peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels.
Type II degenerative changes are noted adjacent to the L5-S1 and L4-L5 intervertebral discs.
The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining 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 :
16.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
1. A posterior and left postero-lateral disc bulge with peridiscal osteophyte at the L5-S1 level with indentation on the extraforaminal segment of the left L5 nerve root.
2. A posteriorly bulging disc at the L4-L5 level with bilateral neural foraminal narrowing.