sb/ke/nl/rg.

Name of the Patient : Abc Xyzhan Zarilmn / F / 50 yrs.
Referred by : Dr. Abc Xyzeswala / Dr. Abc Xyzha.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE and paresthesias.

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 reduction in height of the L5-S1 disc and loss of water content of the L5-S1 disc.

A posteriorly bulging disc with posterior peridiscal osteophytes is noted at the L5-S1 level with slight bilateral neural foraminal narrowing. Slight facetal hypertrophy is noted at this level.

A posteriorly herniated disc with peridiscal osteophytes is noted at the L4-L5 level indenting the traversing L5 nerve roots bilaterally. Facetal and ligamentum flavum hypertrophy is noted at this level with canal stenosis. Slight facet joint effusion is seen at this level.

Facetal hypertrophy is also noted at the L2-L3 and L3-L4 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 level and the thecal sac terminates at the L5-S1 level.

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

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

IMPRESSION :

1. A posteriorly bulging disc with posterior peridiscal osteophytes at the L5-S1 level with slight facetal hypertrophy at this level.

2. A posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level indenting the traversing L5 nerve roots bilaterally. Facetal and ligamentum flavum hypertrophy at this level with canal stenosis. Slight facet joint effusion is noted at this level.

3. Facetal hypertrophy at the L2-L3 and L3-L4 levels.

As compared to the previous MRI dated 00.00.00, there is no significant change noted.