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Name of the Patient : Abc Xyza Slmn / F / 35 yrs.
Referred by : Dr. Abc Xyz Sonawane.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE (left more than right).

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 a large, posterior disc herniation with peridiscal osteophytes at the L4-L5 level with anterior compression of the thecal sac and bilateral neural foraminal narrowing. There is slight inferior migration of the disc. A right far lateral disc herniation is also seen at this level with indentation upon the extraforaminal portion of the right L4 nerve root. The L4-L5 facet joints show mild degenerative changes. This disc shows loss of water content.

Type II degenerative changes are noted in the L4 and L5 vertebral bodies adjacent to the L4-L5 disc.

The L2-L3 facet joint shows slight degenerative changes.

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

16.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
8.0 mm at L4-L5
15.0 mm at L5-S1.

IMPRESSION :

A large, posterior disc herniation with peridiscal osteophytes at the L4-L5 level with slight inferior migration of the disc with a right far lateral disc herniation also at this level indenting the extraforaminal portion of the right L4 nerve root.



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