/64 Date : 00.00.00

Name of the Patient : Abc Xyzh Milmn / M / 29 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with numbness.

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 :

The L5 vertebral body is as marked on the film.

There is loss of water content of the L3-L4 and L5-S1 intervertebral discs.

There is a fairly large, left postero-lateral disc herniation at the L5-S1 level with left neural foraminal narrowing and indentation upon the traversing left S1 nerve root.

A minimal posterior disc bulge is noted at the L4-L5 level.

Slight facetal hypertrophy is noted at the L4-L5 and L5-S1 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.



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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 :

18.0 mm at L1-L2
18.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. A fairly large, left postero-lateral disc herniation at the L5-S1 level with indentation upon the traversing left S1 nerve root.

2. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels.