ke/bv/nl/rg.

Name of the Patient : Abc Xyza lmn / F / 51 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE and 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 :

The lumbar intervertebral discs show loss of water content.

There is a left paracentral disc herniation with posterior peridiscal osteophytes at the L4-L5 level with antero-lateral indentation of the thecal sac. A free fragment is seen in the left lateral recess of the L5 vertebral body impinging the traversing left L5 nerve root.

A small postero-central disc protrusion is seen at the L5-S1 level.

Schmorls nodes are noted in the dorso-lumbar region.

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

The lumbar facet joints show degenerative changes.

A hemangioma with fatty content is seen in the D12 vertebral body with fatty changes in the dorso-lumbar vertebral bodies.

The visualized pre and paravertebral soft tissues are unremarkable.
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The conus medullaris terminates at the 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 :

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

IMPRESSION :

A left paracentral disc herniation with posterior peridiscal osteophytes at the L4-L5 level with a free fragment in the left lateral recess of the L5 vertebral body impinging the traversing left L5 nerve root.