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Name of the Patient : Abc Xyza Plmn / F / 30 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE.

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 D12-L1 and L5-S1 intervertebral discs

Postero-central disc herniations with peridiscal osteophytes are noted at the D12-L1 and L5-S1 levels indenting the dural theca anteriorly (the larger one is at the L5-S1 level).

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

The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S2 level.

A probable left sided conjoint nerve root sleeve is noted at the L5 vertebral level (se/im:107/7).





Fat is noted in the filum terminale over the L4 and L5 vertebral levels.

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

20.0 mm at L1-L2
20.0 mm at L2-L3
20.0 mm at L3-L4
18.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

1. Postero-central disc herniations with peridiscal osteophytes at the D12-L1 and L5-S1 levels (the larger one being at the L5-S1 level).

2. A probable left sided conjoint nerve root sleeve at the L5 vertebral level.

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