sb/bv/rg.
Name of the Patient : Abc Xyz Mamalmn / F / 49 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 1 week.
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 slight loss of water content of all the lumbar intervertebral discs.
There are posterior and bilateral far lateral disc bulges at the L5-S1 level.
A small postero-central disc herniation is noted at the L4-L5 level.
A small right paracentral disc herniation with peridiscal osteophytes is noted at the L2-L3 level.
A small postero-central disc protrusion is noted at the L1-L2 level.
Slight facetal hypertrophy is noted at the L4-L5 and L5-S1 levels.
The lumbar vertebral bodies 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-S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
19.0 mm at L2-L3
20.0 mm at L3-L4
16.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A small postero-central disc herniation at the L4-L5 level.
2. A small right paracentral disc herniation with peridiscal osteophytes at the L2-L3 level.
3. A small postero-central disc protrusion at the L1-L2 level.
4. Posterior and bilateral far lateral disc bulges at the L5-S1 level.
5. Slight facetal hypertrophy at the L4-L5 and L5-S1 levels.