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

CLINICAL PROFILE :

C/O backache with pain radiating to BLE with paresthesias 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 a posterior disc herniation with posterior peridiscal osteophytes at the L4-L5 level with anterior indentation of the thecal sac and mild bilateral neural foraminal narrowing. A small disc portion is seen to lie within the left lateral recess of the L5 vertebra with impingement of the traversing left L5 nerve root.

Schmorls nodes are seen at the superior aspect of the L2, L3 and L4 vertebral bodies and at the inferior aspect of the L3 vertebral body. The L2-L3, L3-L4 and L4-L5 intervertebral discs show loss of water content.

Mild ligamentum flavum hypertrophy is noted at the L5 level. There is mild facetal hypertrophy 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 L1 level and the thecal sac terminates at the S2 level.
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- 2 - Scan-00002


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

16.0 mm at L1-L2
15.0 mm at L2-L3
14.0 mm at L3-L4
10.0 mm at L4-L5
13.0 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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