ke/hs/rg.

Name of the Patient : Abc XyzMilmn / F / 40 yrs.
Referred by : Dr. Abc Xyzelwal.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE (left more than right).

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 :

There is a postero-central disc protrusion at the L4-L5 level with anterior indentation of the thecal sac. Bilateral far lateral disc bulges are also seen at this level. Posterior peridiscal osteophytes and mild facetal arthropathy and mild ligamentum flavum hypertrophy is also noted at this level.

Small postero-central disc protrusions are seen at the L3-L4 and L5-S1 levels.

The L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.

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.
..2/.






- 2 - Scan-00004

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

20.0 mm at L1-L2
20.0 mm at L2-L3
19.0 mm at L3-L4
15.0 mm at L4-L5
14.0 mm at L5-S1.

IMPRESSION :

. A postero-central disc protrusion with posterior peridiscal osteophytes at the L4-L5 level with mild facetal arthropathy and ligamentum flavum hypertrophy at this level.

2. Small postero-central disc protrusions at the L3-L4 and L5-S1 levels.