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Name of the Patient : Abc Xyza lmn / F / 37 yrs.
Referred by : Dr. Abc XyzV. Shah.
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 L5-S1 intervertebral disc and slight loss of water content of the L4-L5 intervertebral disc.

There is a posteriorly herniated disc with a peridiscal osteophyte at the L5-S1 level. A sequestered disc fragment is noted in the left lateral recess of S1 indenting the traversing left S1 nerve root (se/im:104/4).

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

Type II degenerative marrow changes are noted adjacent to the L5-S1 disc.

The rest of 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.
Scan-00002



The conus medullaris terminates at the L1-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 :

17.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
15.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

Degenerated L5-S1 disc with a posteriorly herniated disc at this level with a sequestered disc fragment lying in the left lateral recess of S1 indenting the traversing left S1 nerve root.


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