sb/ke/nl/nl

Name of the Patient : Abc Xyzrakumar lmn / M / 38 yrs.
Referred by : Dr. Abc Xyzndesha.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O low back pain radiating to the LLE.

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 loss of normal lumbar lordosis and loss of water content of the L4-L5 intervertebral disc.

There is a postero-central and left paracentral disc herniation, at the L4-L5 level with indentation on the traversing left L5 nerve root.

Slight facetal hypertrophy is noted at the L2-L3, L3-L4 and L4-L5 levels.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S1 level.






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

15.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
11.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

A postero-central and left paracentral disc herniation, at the L4-L5 level, indenting the traversing left L5 nerve root.