Sunday, 27 December 2015 16:48

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Name of the Patient : Abc Xyza Mohd. lmn / F / 42 yrs.
Referred by : Dr. Abc Xyzadhan.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 2 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.

OBSERVATION :

A postero-central disc herniation is seen to indent the thecal sac at the L5-S1 level. The L5-S1 facet joints show mild degenerative changes.

Small bilateral postero-lateral disc bulges are noted at the L4-L5 level. There is resultant mild neural foraminal narrowing at this level.

The L5-S1 intervertebral disc shows loss of water content.

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-L2 level and the thecal sac terminates at the S2 level.

- 2 - scan-00009


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

17.0 mm at L1-L2

16.0 mm at L2-L3

16.0 mm at L3-L4

13.0 mm at L4-L5

13.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

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

2. Mild facetal arthropathy at the L5-S1 level.


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