Patient Name : I MADE DONI SETYAWAN Patient ID : SHDP.

00313591

Sex / Age / DOB : M / 038Y / 07/24/1983 Accession No. : 14000024054608

Modality : MR\PR Scan Date : 02/11/2022 21:37:56

Procedure : MRI SPN LUMBAL NON-CNTRS Report Date/Time : 02/16/2022 17:51:48 (WIB)

DR. PUTU BUDI SUCITRA,

Ref. Department : OPD Referring Physician : SPOT

MR - Spine Lumbar

Technique:
Multiplanar T1, T2, STIR and MR-Myelography sequences performed

Findings:
Spinal Curvature: Straigthening of lumbal curve
Spine Alignment: Normal
Vertebral Signal Intensity: Normal
Vertebral Body Height: Normal
Endplate Signal Intensity: Normal
Multilevel mild marginal osteophyte lumbal

Disc:
T12-L1: Normal
L1-L2: Normal
L2-L3: Normal
L3-L4: Normal
L4-L5: Diffuse disc bulge with central disc protrusion and central annular fissure indenting thecal sac causing mild central
canal stenosis and mild bilateral neural foraminal narrowing
L5-S1: Diffuse disc bulge with left paracentral-left foraminal disc protrusion indenting thecal sac causing moderate central
canal stenosis, severe left neural foraminal narrowing and mild right neural foraminal narrowing

Lateral Recesses: Severe narrowing left level L5-S1

Facet Joints: Normal
Ligamentum Flavum: Normal

Bony Spinal Canal Dimensions: Normal

Pre and Paravertebral Spaces: Normal

Visualized Spinal Cord: Normal

Conus Medullaris Termination: T12

Visualized Sacroiliac Joints: Normal

Visualized Abdomen and Pelvis: Normal
--
Impression:
A 38 years old, male with suspect HNP L1-L2, L2-L3 , radiculopathy L2
From MRI Lumbal demonstrated :
- Paralumbal muscle spasme
- Mild spondylosis lumbalis

*This document is digitally signed and hence no manual signature is required.

 Patient Name : I MADE DONI SETYAWAN Patient ID : SHDP.00313591

Sex / Age / DOB : M / 038Y / 07/24/1983 Accession No. : 14000024054608

Modality : MR\PR Scan Date : 02/11/2022 21:37:56

Procedure : MRI SPN LUMBAL NON-CNTRS Report Date/Time : 02/16/2022 17:51:48 (WIB)

DR. PUTU BUDI SUCITRA,

Ref. Department : OPD Referring Physician : SPOT

- Diffuse disc bulge with central disc protrusion and central annular fissure at level L4-L5 causing mild central canal
stenosis and mild bilateral neural foraminal narrowing
- Diffuse disc bulge with left paracentral-left foraminal disc protrusion at level L5-S1 causing moderate central canal
stenosis, severe left neural foraminal narrowing and mild right neural foraminal narrowing

Best Regards,

dr. Diah Savitri, Sp.Rad

*This document is digitally signed and hence no manual signature is required.