ke/hs/nl/nl

Name of the Patient : Abc Xyzralmn / F / 33 yrs.
Referred by : Dr. Abc Xyzogrigues.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE 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 scoliosis of the lumbar spine with convexity to the left.

There is a postero-central, left postero-lateral and left far lateral disc herniation with peridiscal osteophytes with indentation upon the thecal sac, left neural foraminal narrowing and indentation upon the traversing left S1 nerve root and the extraforaminal portion of the exiting left L5 nerve root at the L5-S1 level.

A small posterior disc herniation is seen at the L4-L5 level with mild bilateral neural foraminal narrowing.

A small posterior and left far lateral disc bulge is noted at the L3-L4 level. Bilateral far lateral disc bulges are noted at the L4-L5 level.





The L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.

A limbus vertebra is noted at the L4 vertebra.

Small posterior peridiscal osteophytes are noted at the L3-L4, L4-L5 and L5-S1 levels.

The L3-L4, L4-L5 and L5-S1 facet joints show degenerative changes.

There are Type II degenerative changes within the L3, L4 and L5 vertebral bodies adjacent to the intervertebral discs.

The rest of 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.

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

20.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.
..3/.














- 3 - Scan-00002



IMPRESSION :

1. A postero-central, left postero-lateral and left far lateral disc herniation with peridiscal osteophytes with indentation upon the traversing left S1 nerve root and the extraforaminal portion of the exiting left L5 nerve root at the L5-S1 level.

2. A small posterior disc herniation at the L4-L5 level.

3. Facetal arthropathy at the L3-L4, L4-L5 and L5-S1 levels.