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Name of the Patient : Abc Xyzti M. lmn / F / 72 yrs.
Referred by : Dr. Abc Xyz C. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with numbness.

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 lumbar intervertebral discs.

There is a left postero-lateral disc bulge with peridiscal osteophytes at the L4-L5 level with slight left neural foraminal narrowing.

Minimal posterior disc bulges with peridiscal osteophytes are noted at the L2-L3 and L3-L4 levels.

Hypertrophic facetal arthropathy and ligamentum flavum hypertrophy is noted at the L5-S1 level, more pronounced on the left side. Slight facetal hypertrophy is noted at the L4-L5 level.

The lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
Scan-00007


The conus medullaris terminates at the L2 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 :

15.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. A left postero-lateral disc bulge with peridiscal osteophytes at the L4-L5 level.

2. Minimal posterior disc bulges with peridiscal osteophytes at the L2-L3 and L3-L4 levels.

3. Hypertrophic facetal arthropathy and ligamentum flavum hypertrophy at the L5-S1 level, more pronounced on the left side and slight facetal hypertrophy at the L4-L5 level.