ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Salmn / F / 38 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Lumbo-sacral spine.

CLINICAL PROFILE :

C/O backache (on & off) since 3 years.
H/O pulmonary Kochs 3 years back. Completed 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 a small postero-central disc herniation at the L5-S1 level with anterior indentation of the thecal sac.

Small posterior disc herniations with peridiscal osteophytes are noted at the D12-L1 and L1-L2 levels.

The D12-L1, L1-L2 and L5-S1 intervertebral discs show loss of water content.

Tarlovs cyst is noted at the S2-S3 level.

Focal fatty changes/hemangiomas with fat content are noted in the L3, D12 and L1 vertebral bodies.

The L1 vertebral body is wedged slightly anteriorly.

The rest of 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 :

16.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
13.0 mm at L4-L5
14.0 mm at L5-S1.

IMPRESSION :

1. A small postero-central disc herniation at the L5-S1 level.

2. Small posterior disc herniations with peridiscal osteophytes
at the D12-L1 and L1-L2 levels.