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Name of the Patient : Abc Xyz G. Harlmn / M / 42 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE with paresthesias since 1 1/2 months.
Alleged H/O fall prior to this.

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 a posterior disc herniation, more to the left of the midline with posterior peridiscal osteophytes at the L4-L5 level with anterior indentation of the thecal sac and left neural foraminal narrowing. This disc shows loss of water content.

The L5-S1 facet joint on the left side shows degenerative change.

Anterior peridiscal osteophytes are seen in the lower dorsal region.

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 D12-L1 level and the thecal sac terminates at the S1-S2 level.
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- 2 - Scan-00006

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

19.0 mm at L1-L2
19.0 mm at L2-L3
18.0 mm at L3-L4
14.0 mm at L4-L5
17.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of a posterior disc herniation with posterior peridiscal osteophytes at the L4-L5 level.

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