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ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyze Shlmn / F / 42 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE with paresthesias.

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.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is mild retroplacement of the L4 over the L5 and L5 over the S1 vertebral bodies.

A posterior disc herniation is seen at the L5-S1 level with slight inferior migration of the disc and indentation upon the S1 nerve roots bilaterally. A right far lateral disc bulge is also noted at this level.

A diffuse posterior disc herniation is seen at the L4-L5 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing.

The L4-L5 and L5-S1 intervertebral discs show loss of water content.

The facet joints show mild degenerative changes at the L3-L4, L4-L5 and L5-S1 levels.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
..2/.





The conus medullaris terminates at the L1-L2 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 :

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

IMPRESSION :

1. Mild retroplacement of the L4 over the L5 and L5 over the S1 vertebral bodies.

2. A posterior disc herniation at the L5-S1 level with slight inferior migration of the disc and a right far lateral disc bulge at this level.

3. A diffuse posterior disc herniation at the L4-L5 level.
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