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Date : 00.00.00

Name of the Patient : Abc Xyzth S. Glmn / M / 38 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE since 10 days.
H/O lifting heavy weights.

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 L1-L2, L3-L4, L4-L5 and L5-S1 intervertebral discs.

There is a postero-central and left paracentral disc herniation with peridiscal osteophytes at the L5-S1 level indenting the traversing left S1 nerve root.

A small, postero-central disc herniation is noted at the L4-L5 level.

A fairly large, postero-central extruded disc with peridiscal osteophytes is noted at the L3-L4 level, indenting the dural theca anteriorly. Inferior migration of the disc fragment is noted into the left lateral recess of L4, indenting the traversing left L4 nerve root.
Scan-00006


A postero-central protruded disc with peridiscal osteophytes is noted at the L1-L2 level.

Schmorls nodes are noted at the L2 and L5 vertebral levels.

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

The conus medullaris terminates at the D12 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
19.0 mm at L2-L3
11.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. A postero-central and left paracentral disc herniation with peridiscal osteophytes at the L5-S1 level indenting the traversing left S1 nerve root.

2. A small, postero-central disc herniation at the L4-L5 level.

3. A fairly large, postero-central extruded disc with peridiscal osteophytes at the L3-L4 level with inferior migration of the disc fragment into the left lateral recess of L4, indenting the traversing left L4 nerve root.

4. A postero-central protruded disc with peridiscal osteophytes at the L1-L2 level.







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