Date : 00.00.00
Name of the Patient : Abc XyzSabhlmn / M / 39 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache, radiating to the LLE more than the RLE.
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 loss of water content of the L1-L2, L2-L3 and L4-L5 intervertebral discs.
There is a small posterior and right postero-lateral disc bulge with peridiscal osteophyte at the L4-L5 level, with right neural foraminal narrowing.
A posterior and left far lateral disc bulge with peridiscal osteophyte is noted at the L2-L3 level, with left neural foraminal narrowing.
A left far lateral disc bulge is noted at the L1-L2 level.
Facetal hypertrophy is noted at the L3-L4 and L4-L5 levels.
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.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1 level.
Fat is noted in the filum terminale over the L1 and L2 levels and at the L5 and S1 levels.
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
12.0 mm at L5-S1.
1. A small posterior and right postero-lateral disc bulge with peridiscal osteophyte at the L4-L5 level.
2. A posterior and left far lateral disc bulge with peridiscal osteophyte at the L2-L3 level.
3. A left far lateral disc bulge at the L1-L2 level.
4. Facetal hypertrophy at the L3-L4 and L4-L5 levels.