sb/bv/rg.

Name of the Patient : Abc Xyz lmn / M / 25 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 6-8 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 probable partial sacralization of the L5 vertebra on the left.

There is loss of water content of the L4-L5 intervertebral disc.

There is a postero-central disc herniation at the L4-L5 level with indentation on the dural theca anteriorly and bilateral neural foraminal narrowing.

Minimal posterior disc bulges are noted at the L2-L3 and L3-L4 levels.

The pedicles of the lumbar vertebrae appear congenitally short in their antero-posterior dimensions with slight facetal hypertrophy in the lumbar region.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
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The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.

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

13.0 mm at L1-L2
14.0 mm at L2-L3
12.0 mm at L3-L4
9.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. Probable partial sacralization of the L5 vertebra on the left.

2. Degenerated L4-L5 intervertebral disc with a postero-central disc herniation at that level.

3. Congenitally short pedicles of the lumbar vertebrae appear in their antero-posterior dimensions with slight facetal hypertrophy in the lumbar region.

4. Lumbar canal stenosis at the L4-L5 level.