sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 46 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

H/O seizures 3 days back with low back pain.
H/O Abdominal Kochs detected in December 0000. On AKT.

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 loss of water content of the L5-S1 intervertebral disc.

Spina bifida is noted at the L5.

There is a small postero-central disc herniation at the L5-S1 level indenting the dural theca anteriorly.

A minimal posterior disc bulge is noted at the L4-L5 level.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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.

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

20.0 mm at L1-L2
20.0 mm at L2-L3
19.0 mm at L3-L4
16.0 mm at L4-L5
15.0 mm at L5-S1.

IMPRESSION :

Degenerated L5-S1 intervertebral disc with a small postero-central disc herniation at that level.