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sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc XyzPalmn / M / 36 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE with paresthesias 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 loss of water content of the L5-S1 intervertebral disc.

There is a fairly large postero-central and right paracentral disc herniation at the L5-S1 level with right neural foraminal narrowing. A sequestered disc fragment is noted in the right lateral recess of S1 with impingement of the traversing right S1 nerve root. The L5-S1 facet joints show degenerative changes.

A small posterior disc bulge is noted at the L4-L5 level.

A probable conjoint neve root is seen on the left side at the L5-S1 and S1 levels.

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 L1-L2 level and the thecal sac terminates at the S2 level.
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The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

14.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
14.0 mm at L4-L5
14.0 mm at L5-S1.

IMPRESSION :

A fairly large postero-central and right paracentral disc herniation at the L5-S1 level with a sequestered disc fragment in the right lateral recess of S1 impinging the
traversing right S1 nerve root.


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