Date : 00.00.00
Name of the Patient : Abc Xyzrif lmn / M / 33 yrs.
Referred by : Dr. Abc Xyzaj.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE since 3 months.
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 mild retroplacement of the L5 vertebra over the S1 vertebra.
There is loss of normal lumbar lordosis and slight loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is a small posteriorly herniated disc with peridiscal osteophytes at the L5-S1 level with slight right neural foraminal narrowing and minimal indentation on the extraforaminal segment of the exiting right L5 nerve root.
A minimal posterior disc bulge is noted at the L4-L5 level.
Facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels.
Bilateral far lateral (extraforaminal) disc bulges are 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.
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 :
17.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
15.0 mm at L4-L5
12.0 mm at L5-S1.
1. A small posteriorly herniated disc with peridiscal osteophytes at the L5-S1 level with minimal indentation on the extraforaminal segment of the exiting right L5 nerve root.
2. A minimal posterior disc bulge at the L4-L5 level.
3. Facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.
4. Bilateral far lateral (extraforaminal) disc bulges at the L4-L5 and L5-S1 levels.