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sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzalmn / F / 18 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O wasting of BUE and BLE since 10 years with low back pain.

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 slight loss of water content of the L1-L2 intervertebral disc.

There is slight anterior wedging of the L2 vertebral body without change in signal intensity.

A small posterior disc bulge is noted at the L5-S1 level. Mild hypertrophic degenerative changes of the facet joints are also noted at this level.

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 L2 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
15.0 mm at L2-L3
18.0 mm at L3-L4
15.0 mm at L4-L5
10.0 mm at L5-S1.

The T2 Weighted sagittal images of the dorsal spine do not reveal any significant feature of note.

IMPRESSION :

1. Slight anterior wedging of the L2 vertebral body without change in signal intensity.

2. A small posterior disc bulge at the L5-S1 level with mild hypertrophic facetal arthropathy at this level.








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