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Name of the Patient : Abc Xyz Chlmn / F / 39 yrs.
Referred by : Dr. Abc Xyzdhwa.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE.

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 the lumbar intervertebral discs.

There is a small, left postero-lateral disc herniation at the L5-S1 level, minimally indenting the traversing left S1 nerve root.

A minimal posterior disc bulge is noted at the L4-L5 level.

Slight facetal hypertrophy is seen at the L2-L3, L3-L4 and L4-L5 levels.

The lumbar vertebral bodies show preponderance of hematopoeitic marrow (hypointense on the T1 Weighted images). The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12-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 :

18.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
15.0 mm at L5-S1.

Screening T2 Weighted sagittal images of the cervico-dorsal region do not reveal any significant feature of note.

IMPRESSION :

1. A small, left postero-lateral disc herniation at the L5-S1 level, minimally indenting the traversing left S1 nerve root.

2. Slight facetal hypertrophy at the L2-L3, L3-L4 and L4-L5 levels.

3. The lumbar vertebrae are more hypointense than normal on the T1 Weighted images and most likely represent preponderance of hematopoeitic marrow (? anemia).

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