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Name of the Patient : Abc Xyza Manlmn / F / 55 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE 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 loss of water content of the L5-S1 intervertebral disc and slight loss of water content of the rest of the lumbar intervertebral discs.

There is a small, posterior disc protrusion at the L5-S1 level.

There is a small posterior disc herniation at the L4-L5 level indenting the traversing left L5 nerve root. Bilateral far lateral disc bulges are noted at this level.

A minimal posterior disc bulge is seen at the L3-L4 level.

Slight facetal hypertrophy is noted at the L3-L4, 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.


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 :

14.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
9.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. A small, posterior disc protrusion at the L5-S1 level.

2. A small posterior disc herniation at the L4-L5 level indenting the traversing left L5 nerve root.

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

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