hs/ke/rg.

Name of the Patient : Abc Xyz Klmn / M / 37 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the right hip.

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 a small right paracentral disc herniation with peridiscal osteophytes indenting the ventral aspect of the thecal sac at the L5-S1 level. A right far lateral disc herniation is seen to indent the extraforaminal portion of the exiting right L5 nerve root at this level.

A small left paracentral disc protrusion is seen to indent the ventral aspect of the thecal sac at the D12-L1 level.

Mild facetal hypertrophy is noted in the lumbar region.

The D12-L1 and L5-S1 intervertebral discs show loss of water content.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L2 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 :

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

IMPRESSION :

The MRI features are suggestive of :

1. A small right paracentral and right far lateral disc herniation with peridiscal osteophytes at the L5-S1 level.

2. A small left paracentral disc protrusion at the D12-L1 level.