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Name of the Patient : Abc Xyzha lmn / F / 19 yrs.
Referred by : Dr. Abc Xyzgle.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 2 years.

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.

There is a small postero-central disc herniation at the L5-S1 level.

There is a small, right paracentral disc herniation at the L4-L5 level.

Slight facetal hypertrophy is noted at the L4-L5 and L5-S1 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 L2 level and the thecal sac terminates at the S2 level.
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The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

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

Screening T2 Weighted sagittal images of the dorsal and cervical spines do not reveal any significant feature of note.

IMPRESSION :

1. A small postero-central disc herniation at the L5-S1 level.

2. A small, right paracentral disc herniation at the L4-L5 level.

3. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels.

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