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Name of the Patient : Abc XyzBlmn / F / 28 yrs.
Referred by : Dr. Abc Xyz Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE.

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 slight loss of water content of the L2-L3, L3-L4 and L4-L5 intervertebral discs.

Small postero-central disc herniations are noted at the L2-L3 and L3-L4 levels indenting the dural theca anteriorly.

A small postero-central protruded disc is noted at the L5-S1 level.

A minimal posterior disc bulge is noted at the L4-L5 level.

Mild facetal hypertrophy is seen at the L3-L4 and L4-L5 levels.

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.

The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
..2/.








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
10.0 mm at L3-L4
12.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

1. Small postero-central disc herniations at the L2-L3 and L3-L4 levels.

2. A small postero-central protruded disc at the L5-S1 level.


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