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ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xlmn / M / 62 yrs.
Referred by : Dr. Abc Xyzankhla.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O neckpain with pain radiating to the LLE and RUE with weakness in the LLE.
H/O cervical spine surgery. No details available.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T2 Weighted and Gradient axial images.

OBSERVATION :

The visualized dorsal intervertebral discs show loss of water content.

The visualized dorsal vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1 level.

The lumbar spine was screened with 5 mm thick T1 Weighted and T2 Weighted sagittal images and which shows sacralization of the L5 vertebral body. Posterior disc herniations are seen at the L1-L2 L2-L3, L3-L4 and L4-L5 levels with anterior indentation of the thecal sac and bilateral neural foraminal narrowing. There is facetal arthropathy at the L2-L3 and L3-L4 levels. Lateral disc herniations with peridiscal osteophytes are seen in the lumbar region.

Anterior disc herniations with peridiscal osteophytes are seen at the D12-L1, L1-L2 and L2-L3 levels.
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IMPRESSION :

No significant abnormality is detected within the dorsal spine on this study.

Sacralization of the L5 vertebra.

Posterior disc herniations at the L1-L2, L2-L3, L3-L4 and L4-L5 levels with canal stenosis over the L2-L3 and L3-L4 levels.

Facetal arthropathy at the L2-L3 and L3-L4 levels.


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