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Date : 00.00.00

Name of the Patient : Abc XyzBharlmn / F / 44 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 00.00.00.

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 :

A right postero-lateral (foraminal) disc protrusion is seen to narrow the right neural foramen and indent the exiting right L4 nerve root at the L4-L5 level. Also seen is a right far lateral (extraforaminal) disc bulge at this level.

The right L4-L5 facet joint shows mild degenerative changes.

A mild posterior disc bulge is noted at the L5-S1 level.

The L2-L3 and L4-L5 intervertebral discs show mild loss of water content. Small anterior disc herniations with anterior osteophytes are noted at the L2-L3, L3-L4 and L4-L5 levels.








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 :

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

IMPRESSION :

1. A right postero-lateral (foraminal) disc protrusion indenting the exiting right L4 nerve root at the L4-L5 level.

2. Mild facetal arthropathy on the right side at the L4-L5 level.