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sb/hs/rg/nl

Name of the Patient : Abc Xyzn Anlmn / F / 36 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE with paresthesias.

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 left paracentral disc herniation at the L5-S1 level indenting the traversing left S1 nerve root and the thecal sac.

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

Small posterior peridiscal osteophytes are noted at the L1-L2 level.

Slight facetal hypertrophy is noted at the L3-L4, L4-L5 and L5-S1 levels.

A probable right sided conjoint nerve root sleeve is noted at the L5-S1/S1 level.

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-L2 level and the thecal sac terminates at the S2 level.

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

16.0 mm at D12-L1
14.0 mm at L1-L2
15.0 mm at L2-L3
16.0 mm at L3-L4
15.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

A left paracentral disc herniation at the L5-S1 level and indenting the traversing left S1 nerve root.


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