Date : 00.00.00
Name of the Patient : Abc Xyzh Esa Mlmn / M / 37 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE (left more than right) since 1 year.
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 forward translation of the L3 vertebra over the L4 vertebra.
There is sacralization of the L5 vertebra which is as marked on the film.
There is a small, postero-central disc herniation at the L4-L5 level, indenting the dural theca anteriorly. A left postero-lateral disc bulge is also noted at this level.
A small posterior disc herniation with peridiscal osteophytes is seen at the L3-L4 level.
Bilateral far lateral (extraforaminal) disc bulges are noted at the L3-L4 and L4-L5 levels.
The L3-L4 and L4-L5 intervertebral discs show loss of water content.
The lumbar vertebral bodies and the remaining 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 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
11.0 mm at L4-L5
9.0 mm at L5-S1.
1. Slight forward translation of the L3 vertebra over the L4 vertebra.
2. Sacralization of the L5 vertebra.
3. A small, postero-central disc herniation at the L4-L5 level, with a left postero-lateral disc bulge at that level.
4. A small posterior disc herniation at the L3-L4 level.