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Date : 00.00.00

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

CLINICAL PROFILE :

C/O backache radiating to BLE 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.

OBSERVATION :

There is a small right far lateral disc bulge at the L3-L4 level with a small posterior peridiscal osteophyte at that level.

The L3-L4 and L4-L5 facet joints bilaterally and the L5-S1 facet joint on the left side show mild degenerative change.

Ligamentum flavum hypertrophy is seen at the L4, L4-L5 and L5-S1 levels.

Anterior disc herniations are seen at the L1-L2 and L3-L4 levels. Anterior peridiscal osteophytes are also noted at the L1-L2 level. These intervertebral discs show slight loss of water content.

Type II degenerative changes are noted in the L1 vertebral body adjacent to the L1-L2 intervertebral disc.

A hemangioma is noted in the L3 vertebral body.

The rest of the lumbar vertebral bodies and the remaining intervertebral discs show normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

- 2 -


The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 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

18.0 mm at L2-L3

17.0 mm at L3-L4

16.0 mm at L4-L5

15.0 mm at L5-S1.

IMPRESSION :

1. A small right far lateral disc bulge at the L3-L4 level with a small posterior peridiscal osteophyte at that level.

2. Mild degenerative changes of the L3-L4 and L4-L5 facet joints bilaterally and the L5-S1 facet joint on the left side.

3. Ligamentum flavum hypertrophy at the L4, L4-L5 and L5-S1 levels.







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