sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 25 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O low back pain since 1 month.
H/O fall prior to this.
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 lower lumbar intervertebral discs.
Small, postero-central disc herniations with posterior peridiscal osteophytes are noted at the L3-L4, L4-L5 and L5-S1 levels, indenting the dural theca anteriorly.
Small, postero-central protruded disc is noted at the D11-D12 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 L2 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
19.0 mm at L2-L3
15.0 mm at L3-L4
15.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
Degenerated lower lumbar discs, with small postero-central disc herniations with posterior peridiscal osteophytes at the L3-L4, L4-L5 and L5-S1 level.