ke/sb/rg/nl

Name of the Patient : Abc Xyza M. Jalmn / F / 35 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE with paresthesias since 3 months.

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 posterior disc herniation with peridiscal osteophytes at the L4-L5 level indenting the anterior aspect of the thecal sac and bilateral nerual foraminal narrowing. Mild ligamentum flavum hypertrophy and facetal arthropathy is also seen at this level with resultant canal stenosis.
This disc shows loss of water content.

The L3-L4 and L5-S1 facet joints appear slightly hypertrophied.

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 S1 level.
..2/.









- 2 - Scan-00003


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
13.0 mm at L3-L4
10.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. A posterior disc herniation with peridiscal osteohpytes at the L4-L5 level with mild ligamentum flavum hypertrophy, facetal arthropathy and resultant canal stenosis at this level.

2. Facetal hypertrophy at the L3-L4 and L5-S1 levels.