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sb/bv/nl/rg.
sw Date : 00.00.00

Name of the Patient : Abc Xyzai S. Klmn / F / 38 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE 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 :

The L5 vertebral body is as marked on the film.

There is loss of water content of the L5-S1 and L1-L2 intervertebral discs.

There is a postero-central disc herniation with peridiscal osteophyte at the L5-S1 level indenting the dural theca anteriorly.

A left postero-lateral and left far lateral disc bulge is noted at the L4-L5 level narrowing the left neural foramen at that level.

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



- 2 - Scan-00006


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 :

15.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

1. A postero-central disc herniation with peridiscal osteophyte at the L5-S1 level.

2. A left postero-lateral and left far lateral disc bulge at the L4-L5 level narrowing the left neural foramen at that level.









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    • Interventional Pain Procedure Templates
    • The Ultimate Guide to Rapid Reporting for FRCR 2B
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