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Date : 00.00.00

Name of the Patient : Abc Xyz Mohammedlmn / M / 44 yrs.
Referred by : Dr. Abc Xyzaubal / Dr. Abc Xyzeshmukh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with paresthesias since 15 days.

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 posterior disc herniation at the L2-L3 level with anterior indentation of the thecal sac. This disc shows loss of water content and is reduced in height. A large posterior peridiscal osteophyte is also noted at this level. An anterior disc herniation is also seen at this level. An anterior disc herniation is also seen at this level.

Schmorls nodes are seen in the L2 vertebra inferiorly and L3 vertebra superiorly.

Small posterior disc bulges are noted at the L4-L5 and L5-S1 levels. A left far lateral (extraforaminal) disc herniation is seen at the L1-L2 level.

Type II degenerative changes are noted in the L2 vertebral body adjacent to the L2-L3 intervertebral disc. Areas of focal fatty deposition are identified in the L1 and L3 vertebral bodies.

The rest of the lumbar vertebral bodies and the remaining intervertebral discs show normal signal intensity. 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.
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The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

14.0 mm at L1-L2

11.0 mm at L2-L3

15.0 mm at L3-L4

13.0 mm at L4-L5

11.0 mm at L5-S1.

IMPRESSION :

A posterior disc herniation with large posterior peridiscal osteophyte at the L2-L3 level.

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