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sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzaslmn / F / 45 yrs.
Referred by : Dr. Abc Xyzh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache.

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 L1-L2, L3-L4 and L4-L5 intervertebral discs.

There is a posteriorly bulging disc at the L4-L5 level with a right postero-lateral (foraminal) disc herniation at this level with narrowing of the right neural foramen at the L4-L5 level.

A small posterior disc bulge is noted at the L3-L4 level.

Right far lateral (extraforaminal) disc bulges are noted at the L3-L4 and L4-L5 levels.

Facetal hypertrophy is noted in the lumbar region.

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 D12 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 :

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

IMPRESSION :

1. A posteriorly bulging disc at the L4-L5 level with a right postero-lateral (foraminal) disc herniation at that level.

2. A small posterior disc bulge at the L3-L4 level.

3. Facetal hypertrophy in the lumbar region.


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