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sb/hs/rg.

Name of the Patient : Abc Xyzh V. lmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 1 year.

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 L3-L4, L4-L5 and L5-S1 intervertebral discs.

There is a left postero-lateral disc herniation with peridiscal osteophytes at the L5-S1 level with left neural foraminal narrowing and minimal indentation on the traversing left S1 nerve root.

A postero-central and right postero-lateral disc herniation with peridiscal osteophytes is noted at the L4-L5 level with indentation on the traversing right L5 nerve root.

A small left far lateral disc herniation with peridiscal osteophytes is noted at the L3-L4 level with minimal indentation on the extraforaminal segment of the exiting left L3 nerve root.

Slight facetal hypertrophy is noted at the L4-L5 level.

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.
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The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.

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

15.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
10.1 mm at L5-S1.

IMPRESSION :

1. A left postero-lateral disc herniation with peridiscal osteophytes at the L5-S1 level with minimal indentation on the traversing left S1 nerve root.

2. A postero-central and right postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level with indentation on the traversing right L5 nerve root.

3. A small left far lateral disc herniation with peridiscal osteophytes at the L3-L4 level with minimal indentation on the extraforaminal segment of the exiting left L3 nerve root.

4. Slight facetal hypertrophy at the L4-L5 level.
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