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sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzwar Chililmn / M / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE and RUE with paresthesias since 6-7 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 L3-L4 and L4-L5 intervertebral discs.

Small postero-central disc herniations with peridiscal osteophytes are noted at the L3-L4 and L4-L5 levels indenting the dural theca anteriorly.

There is slight increase in the epidural fat at the L5 and S1 vertebral levels with a trifoliate configuration of the thecal sac suggesting epidural lipomatosis.

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-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 :

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

IMPRESSION :

1. Small postero-central disc herniations with small peridiscal osteophytes at the L3-L4 and L4-L5 levels.

2. Slight increase in the epidural fat at the L5 and S1 vertebral levels suggest epidural lipomatosis.


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