Date : 00.00.00
Name of the Patient : Abc Xyzed Ylmn / M / 41 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 4-5 months with tingling.
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 a small posterior and left far lateral disc bulge at the L4-L5 level.
A right far lateral disc bulge with peridiscal osteophyte is noted at the L2-L3 level (scan 104.15, 105.12).
Type I degenerative marrow changes are noted in the L4 vertebral body adjacent to the L3-L4 disc with a small, anterior disc herniation at that level.
Small hemangiomas with fat content are seen in the L1, L3 and L4 vertebral bodies.
The lumbar intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the 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
14.0 mm at L3-L4
12.0 mm at L4-L5
11.0 mm at L5-S1.
A right far lateral disc bulge with peridiscal osteophyte at the L2-L3 level.