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ke/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzakant Jalmn / M / 48 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with swelling over the left hip region since 3-4 months.
C/O radicular pain to the LLE 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.

FEW IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.

OBSERVATION :

There is slight forward translation of the L5 vertebra over the S1 vertebra (? spondylolysis at the L5 level - please correlate with plain radiographs).

Posterior disc herniations are seen at the L4-L5 and L5-S1 levels with anterior indentation of the thecal sac, bilateral neural foraminal narrowing and indentation upon the traversing L5 and S1 nerve roots, respectively.

A mild posterior disc bulge is noted at the L3-L4 level. Bilateral far lateral (extraforaminal) disc bulges are seen in the lumbar region.

The lumbar facet joints show degenerative changes, more so at the L4-L5 and L5-S1 levels. The L4-L5 and L5-S1 intervertebral discs show loss of water content.


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

The conus medullaris terminates at the L1 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 :

14.0 mm at L1-L2
13.0 mm at L2-L3
12.0 mm at L3-L4
9.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. Slight forward translation of the L5 vertebra over the S1 vertebra (? spondylolysis at the L5 level - please correlate with plain radiographs).

2. Posterior disc herniations at the L4-L5 and L5-S1 levels with bilateral neural foraminal narrowing and indentation upon the traversing L5 and S1 nerve roots, respectively.

3. Facetal arthropathy in the lumbar region, more so at the L4-L5 and L5-S1 levels.

4. A tight canal at the L5-S1 level and canal stenosis at the L4-L5 level.



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