hs/bv/nl/rg.]
Date : 00.00.00

Name of the Patient : Abc Xyzndra Palmn / M / 55 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain to the RLE with paresthesias since 3 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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is a right paracentral disc extrusion indenting the thecal sac at the L5-S1 level. A disc portion is seen to lie within the right lateral recess of the S1 vertebra with resultant impingement of the traversing right S1 nerve root.

There is a postero-central and right postero-lateral disc herniation indenting the thecal sac and right neural foramen at the D11-D12 level. A small disc portion appears to be lying within the right neural foramen at this level (scan 102.6).

A small posterior disc herniation is seen to indent the thecal sac and narrow both neural foramina at the L4-L5 level.

A small right paracentral disc herniation is seen to indent the thecal sac at the L3-L4 level. There is a right far lateral (extraforaminal) disc herniation indenting the exiting right L3 nerve root at this level.
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Posterior peridiscal osteophytes are seen over the L2-L3 to L5-S1 levels.

There is a posterior disc bulge at the L2-L3 level.

Facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels.

The L2-L3, L3-L4, L4-L5, L5-S1 and D11-D12 intervertebral discs show loss of water content.

A limbus vertebra is noted at the L5 level with Type II degenerative changes.

Anterior disc herniations are noted at the L3-L4, L4-L5 and the L1-L2 levels.

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 S2 level.

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

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

IMPRESSION :

1. A right paracentral disc extrusion at the L5-S1 level with a disc portion lying within the right lateral recess of the S1 vertebra with resultant impingement of the traversing right S1 nerve root.
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- 3 - Scan-00007



2. A postero-central and right postero-lateral disc herniation at the D11-D12 level.

3. A small right paracentral disc herniation at the L3-L4 level.

4. A right far lateral (extraforaminal) disc herniation indenting the exiting right L3 nerve root at the L3-L4 level.