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ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzjprasad Palmn / M / 40 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain to the LLE since 2 months.

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 sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film

There is a left paracentral disc extrusion at the L4-L5 level with left antero-lateral indentation of the thecal sac. There is inferior migration of the extruded disc portion which is seen to lie in the left lateral recess of the L5 vertebra with impingement of the traversing left L5 nerve root. This disc shows loss of water content. Small posterior peridiscal osteophytes are also noted at this level.

A posterior disc herniation is seen at the D12-L1 level. A Schmorls node is noted at the postero-superior asepct of the D12 vertebral body.

Type II degenerative changes are seen in the antero-superior portion of the L5 vertebra.
Scan-00001



The rest of 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 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 :

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

IMPRESSION :

1. Sacralization of the L5 vertebra.

2. A left paracentral disc extrusion at the L4-L5 level with inferior migration of the extruded disc portion which is seen to lie in the left lateral recess of the L5 vertebra with impingement of the traversing left L5 nerve root.

3. A posterior disc herniation at the D12-L1 level.






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