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sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzBalmn / F / 60 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE 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 loss of water content of the lumbar intervertebral discs.

There is a fairly large, left paracentral extruded disc at the L3-L4 level with left neural foraminal narrowing. Inferior migration of the disc fragment is noted, indenting the traversing left L4 nerve root.

A small postero-central protruded disc is noted at the L5-S1 level.

A small, posterior and bilateral far lateral disc bulges are noted at the L4-L5 level.

Small posterior peridiscal osteophytes are noted at the L2-L3 level.




- 2 - Scan-00001

A fairly large, right lateral peridiscal osteophyte is noted at the L5-S1 level. Anterior disc herniations with anterior peridiscal osteophytes are noted in the lumbar region. Schmorls nodes are seen in the dorso-lumbar region.

The lumbar vertebral bodies show spotty fatty marrow changes. 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 S1 level.

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

17.0 mm at L1-L2
17.0 mm at L2-L3
13.0 mm at L3-L4
13.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. A fairly large, left paracentral extruded disc at the L3-L4 level with left neural foraminal narrowing. Inferior migration of the disc fragment is noted indenting the traversing left L4 nerve root.

2. A small postero-central protruded disc at the L5-S1 level.

3. A small, posterior and bilateral far lateral disc bulges at the L4-L5 level.


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