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Name of the Patient : Abc Xyzlmn / F / 35 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE (right more than left) with tingling in the LLE since 5-6 months.

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 mild scoliosis of the lumbar spine with convexity to the left with clockwise rotation of the lumbar vertebrae.

Mild ligamentum flavum hypertrophy is seen over the L3-L4 to L5 levels. The L3-L4 and L4-L5 facet joints show degenerative changes.

The lumbar vertebral bodies and intervertebral discs 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 level and the thecal sac terminates at the S2 level.
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The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

16.0 mm at L1-L2
15.0 mm at L2-L3
16.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Mild ligamentum flavum hypertrophy over the L3-L4 to L5 levels.

2. Facetal arthropathy at the L3-L4 and L4-L5 levels.


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