ke/bv/nl/rg.

Name of the Patient : Abc Xyzlmn / M / 37 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O low back pain with 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 sacralization of the L5 vertebral body and the L3 vertebra is as marked on the film.

A postero-central disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac. Slight inferior migration of the disc is seen lying posterior to the L5 vertebral body mildly indenting the left L5 nerve root. The L4-L5 facet joints show degenerative changes. This disc shows loss of water content.

The lumbar facet joints show mild degenerative changes.

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 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
14.0 mm at L2-L3
12.0 mm at L3-L4
8.0 mm at L4-L5
7.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebral body.

2. A postero-central disc herniation at the L4-L5 level with slight inferior migration of the disc lying posterior to the L5 vertebral body mildly indenting the left L5 nerve root.

3. Facetal arthropathy in the lumbar region.