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Date : 00.00.00

Name of the Patient : Abc Xyzama Dadalmn / F / 56 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE.

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 lumbar intervertebral discs.

Posteriorly herniated discs with posterior peridiscal osteophytes are noted at the L4-L5 and L5-S1 levels. Right neural foraminal narrowing is noted at the L4-L5 level and bilateral neural foraminal narrowing is noted at the L3-L4 level. Mild indentation on the extraforaminal segment of the left L3 nerve root is noted.

A small right paracentral protruded disc with peridiscal osteophytes is noted at the L1-L2 level.

Postero-central protruded discs with peridiscal osteophytes are noted at the D11-D12 and D12-L1 levels indenting the dural theca anteriorly.

Slight facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels.




A focal, hypointense lesion on all the pulse sequences in the L4 vertebral body may represent a calcific focus/bone island.

The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L2 level and the thecal sac terminates at the S2 level.

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

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

IMPRESSION :

1. Posteriorly herniated discs with posterior peridiscal osteophytes at the L3-L4 and L4-L5 levels with right neural foraminal narrowing at the L4-L5 level and bilateral neural foraminal narrowing at the L3-L4 level and mild indentation on the extraforaminal segment of the left L3 nerve root at the L3-L4 level.

2. A small right paracentral protruded disc with peridiscal osteophytes at the L1-L2 level.
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- 3 - Scan-00007



3. Postero-central protruded discs with peridiscal osteophytes at the D11-D12 and D12-L1 levels.

4. Slight facetal hypertrophy at the L3-L4, L4-L5 and L5-S1 levels.

As compared to the previous MRI dated 00.00.0000, there is slight increase in the degree of the protruded discs at the D12-L1 and L1-L2 levels. Indentation on the extraforaminal segment of the left L3 nerve root at the L3-L4 level is also noted on the present study.



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