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ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzMalmn / F / 47 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE with numbness since 1 month.

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 a small postero-central disc protrusion at the L5-S1 level with anterior indentation of the thecal sac. This disc is dessicated and shows loss of water content.

A left far lateral disc bulge with peridiscal osteophytes is seen at the L4-L5 level with mild indentation upon the extraforaminal portion of the traversing left L4 nerve root.

A Schmorls node is seen in the superior aspect of the D11 vertebral body with apparent central wedging of the vertebra. However there is no signal change noted in the D11 vertebral body.

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 S1-S2 level.
..2/.







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
18.0 mm at L3-L4
17.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. A small postero-central disc protrusion at the L5-S1 level.

2. A left far lateral disc bulge with peridiscal osteophytes at the L4-L5 level with mild indentation upon the extraforaminal portion of the traversing left L4 nerve root.


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