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sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzbi Shlmn / F / 54 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BUE and RLE since 1 year.

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.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is loss of water content of the lumbar intervertebral discs.

There is a right paracentral protruded disc at the L5-S1 level, minimally indenting the traversing right S1 nerve root with slight right neural foraminal narrowing at this level.

A small, left postero-lateral disc herniation with a peridiscal osteophyte is noted at the L4-L5 level with slight left neural foraminal narrowing. The L4-L5 facet joints show mild hypertrophic degenerative changes.

Bilateral far lateral (extraforaminal) disc bulges are noted at the L4-L5 and L5-S1 levels.
Scan-00007


The lumbar vertebral bodies 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 D12-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 :

18.0 mm at L1-L2
20.0 mm at L2-L3
17.0 mm at L3-L4
13.0 mm at L4-L5
10.0 mm at L5-S1.

Screening, T2 Weighted sagittal images of the dorsal spine do not reveal any significant feature of note. There appear to be degenerative changes of visualized lower cervical spine.

IMPRESSION :

1. A right paracentral protruded disc at the L5-S1 level, minimally indenting the traversing right S1 nerve root.

2. A small, left postero-lateral disc herniation with a peridiscal osteophyte at the L4-L5 level.

3. Mild hypertrophic facetal arthropathy at the L4-L5 level.