ke/sb/rg.
Name of the Patient : Abc XyzPalmn / M / 65 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE (left more than right) with 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 a small posterior disc bulge with peridiscal osteophytes at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.
There is a left far lateral disc herniation at the L2-L3 level. A posterior disc herniation with peridiscal osteophytes is also noted at this level.
Small posterior disc bulges with peridiscal osteophytes are noted at the L3-L4 and L5-S1 levels. The lumbar intervertebral discs show loss of water content.
The lumbar vertebral bodies reveal normal signal intensity. The facet joints in the lower lumbar region appear slightly hypertrophied. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
..2/.
- 2 - Scan-00001
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
15.0 mm at L4-L5
17.0 mm at L5-S1.
Incidental note is made of absent right kidney, the result of previous surgery.
IMPRESSION :
The MRI features are suggestive of :
1. A small posterior disc bulge with peridiscal osteophytes at the L4-L5 level.
2. A posterior disc herniation and a left far lateral disc herniation with peridiscal osteophytes at the L2-L3 level.
3. Small posterior disc bulges with peridiscal osteophytes
at the L3-L4 and L5-S1 levels.