ke/hs/rg/nl
Name of the Patient : Abc Xyzlmn / F / 61 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE with paresthesias since 1 year.
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 are small posterior disc bulges at the L4-L5 and L5-S1 levels with anterior indentation of the thecal sac.
Small right postero-lateral (foraminal) disc herniations are seen at the L4-L5 and L5-S1 levels with slight right neural foraminal narrowing and indentation upon the exiting right L4 and L5 nerve roots at these levels, respectively.
The L4-L5 facet joints show mild degenerative changes.
The lumbar intervertebral discs show loss of water content.
There is mild facetal hypertrophy at the D10-D11 level.
The lumbar vertebral bodies 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 S2-S3 level.
..2/.
- 2 - Scan-00005
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at D12-L1
16.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
16.0 mm at L4-L5
14.0 mm at L5-S1.
IMPRESSION :
The MRI features are suggestive of :
1. Mild posterior disc bulges and small right postero-lateral (foraminal) disc herniations at the L4-L5 and L5-S1 levels.
2. Mild facetal arthropathy at the L4-L5 level.