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sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc XyzJ. Kalmn / F / 42 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to BLE with paresthesias since 4-5 years.

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 L4-L5 and L5-S1 intervertebral discs.

Slight retroplacement of the L5 over the S1 vertebra is noted.

There is a posterior and bilateral far lateral disc bulge with peridiscal osteophytes at the L5-S1 level with slight bilateral neural foraminal narrowing.

A postero-central disc herniation with peridiscal osteophytes is noted at the L4-L5 level with indentation on the dural theca anteriorly.

The facet joints at the L3-L4, L4-L5 and L5-S1 levels appear slightly hypertrophied.

Type III degenerative marrow changes are noted adjacent to the L5-S1 intervertebral disc.
- 2 - scan-00005


The rest of the lumbar vertebral bodies and the remaining intervertebral discs 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 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
15.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. Slight retroplacement of the L5 over the S1 vertebra.

2. A posterior and bilateral far lateral disc bulge with peridiscal osteophytes at the L5-S1 level with slight bilateral neural foraminal narrowing.

3. A postero-central disc herniation with peridiscal osteophytes at the L4-L5 level.

4. Slight facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.








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