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.