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Name of the Patient : Abc Xyzsh Dlmn / M / 33 yrs.
Referred by : Dr. Abc Xyznadkat.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache.

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 suggestion of partial sacralization of the L5 vertebra on the left side. The L5 vertebra appears as marked on the film. Please correlate with plain radiographs.

There is a postero-central disc herniation at the L4-L5 level with anterior indentation of the thecal sac. A small left postero-lateral disc herniation is also noted at this level with slight left neural foraminal narrowing and mild indentation upon the exiting left L4 nerve root.

There is a small right paracentral disc herniation at the L5-S1 level.

A left far lateral (extraforaminal) disc bulge is noted at the L3-L4 level.

The L4-L5 and L5-S1 intervertebral discs show loss of water content.
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- 2 - Scan-00005


The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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 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
20.0 mm at L2-L3
18.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Partial sacralization of the L5 vertebra on the left side. Please correlate with plain radiographs.

2. A postero-central and a small left postero-lateral disc herniation at the L4-L5 level.

3. A small right paracentral disc herniation at the L5-S1 level.


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