Patient Name: Mrs.
Varsha Patient ID: SHE24010
Age: 30 Years Sex: F
Ref Dr. ASHUTOSH KAPUR . Modality: MR
Physician:
Study: MRI Lumbar Spine Without Study Date: 21-Jul-2025
Contrast
Acc SHE202520203
Number:
MRI LUMBOSACRAL SPINE WITH WHOLE SPINE SCREENING
STUDY PROTOCOLS :FLAIR T1W AND FAST SPIN ECHO T2W HIGH RESOLUTION SAGITTAL IMAGES
OF LUMBOSACRAL SPINE WERE OBTAINED ON A DEDICATED PHASED ARRAY SURFACE SPINE
COIL USING 3.0 TESLA twin GRADIENT SYSTEMS AND CORRELATED WITH T1W AND T2W AXIAL
IMAGES.
Clinical History:- Low backache.
FINDINGS:
Straightening of lumber lordosis.
Degenerative spondylotic changes are seen in the spine with disc degeneration and marginal
end plate osteophytes.
Loss of normal T2 hyperintense signals suggestive of disc desiccation changes at L3-L4 and
L4-L5 level.
Disc bulge with central disc protrusion with annular fissuring indenting the anterior thecal sac
causing mild encroachment upon the intervertebral neural foramina at L3-L4 level.
Disc bulge with central disc protrusion with annular fissuring with mild caudal migration
indenting anterior thecal sac causing encroachment upon intervertebral neural foramina,
narrowing of lateral recess, spinal canal narrowing and indenting the bilateral exiting and
traversing nerve root at L4-L5 level .
Disc bulge with central disc prominence indenting the anterior thecal sac causing
encroachment upon right intervertebral neural foramina, narrowing of right lateral recess and
compressing the right exiting and traversing nerve root at L5-S1 level.
The vertebrae show normal alignment and marrow signal. No vertebral focal lesions seen.
The conus, the filum terminale and the roots of the cauda equine are normal.
The pre and paravertebral soft tissues are normal.
Page | 1
Patient Name: Mrs. Varsha Patient ID: SHE24010
Age: 30 Years Sex: F
Ref Dr. ASHUTOSH KAPUR . Modality: MR
Physician:
Study: MRI Lumbar Spine Without Study Date: 21-Jul-2025
Contrast
Acc SHE202520203
Number:
Bilateral SI joint appear normal
The sagittal diameters of the lumber spinal canal are as follows (in mm):
evel : L1-L2 L2-L3 L3-L4 L4-L5 L5-S1
(mm): 11.5 11 7.9 9.3 9.4
WHOLE SPINE SCREENING:-
DORSAL SPINE:-
Normal curvature and vertebral alignment is maintained.
Degenerative spondylotic changes are seen in the spine with disc degeneration and marginal
end plate osteophytes.
Mild disc bulge indenting the anterior thecal sac at multiple levels in dorsal spine with no
obvious neural compression.
Schmorl's node along the inferior endplate of D12 vertebral body.
The vertebrae show normal marrow signal with no focal lesions.
The dorsal intervertebral discs are normal with no significant bulging or herniation noted.
The dorsal cord appears normal.
Pre and para vertebral soft tissues are normal.
CERVICAL SPINE:-
Straightening of cervical lordosis.
Vertebral body, pedicle, spinous process, lamina and articular surfaces are normal.
Page | 2
Patient Name: Mrs. Varsha Patient ID: SHE24010
Age: 30 Years Sex: F
Ref Dr. ASHUTOSH KAPUR . Modality: MR
Physician:
Study: MRI Lumbar Spine Without Study Date: 21-Jul-2025
Contrast
Acc SHE202520203
Number:
No focal lytic/sclerotic lesion.
No subluxation / dislocation / spondylolisthesis is seen.
The cervical cord is well displayed and it is of normal size. No evidence of any abnormal signal
intensity lesions seen within the cord. The cervicomedullary junction is normal.
Perivertebral soft tissues are unremarkable.
IMPRESSION: -
Degenerative spondylotic changes.
Disc bulge with central disc protrusion with annular fissuring indenting the anterior
thecal sac causing mild encroachment upon the intervertebral neural foramina at L3-L4
level .
Disc bulge with central disc protrusion with annular fissuring with mild caudal
migration indenting anterior thecal sac causing encroachment upon intervertebral
neural foramina, narrowing of lateral recess, spinal canal narrowing and indenting the
bilateral exiting and traversing nerve root at L4-L5 level .
Disc bulge with central disc prominence indenting the anterior thecal sac causing
encroachment upon right intervertebral neural foramina, narrowing of right lateral
recess and compressing the right exiting and traversing nerve root at L5-S1 level .
ADVICE: - Clinical correlation and follow up.
Disclaimer:-Investigations have their limitations. Solitary pathological/Radiological and other investigations
never confirm the final diagnosis. They only help in diagnosing the disease in correlation to clinical symptoms
and other related tests. Please interpret accordingly.
Page | 3
Patient Name: Mrs. Varsha Patient ID: SHE24010
Age: 30 Years Sex: F
Ref Dr. ASHUTOSH KAPUR . Modality: MR
Physician:
Study: MRI Lumbar Spine Without Study Date: 21-Jul-2025
Contrast
Acc SHE202520203
Number:
Date: 22-Jul-2025 15:16:34
Page | 4
