Exam Date: 17-Mar-2023 12:56:12 PM Accession No: LOS9393

Patient: DIXON, NADINE Modality Type: MR

MRN: 17041974CH Description: SPINE^LUMBAR
Gender: F Location:
Birth Date: 17-Apr-1974 Referring:

Exam: MRI OF THE LUMBAR SPINE WITHOUT CONTRAST

Clinical data: Possible disc bulge around L4/L5.

Technique: Multiplanar multisequence MRI of the lumbar spine without contrast. Axial imaging was
performed through the L1 through S1 disc levels.

Prior studies: No prior studies submitted.

Findings:
Normal alignment of the lumbar spine. The L4-5 and L5-S1 intervertebral discs are dehydrated and the
L4-5 intervertebral disc is of reduced height. There is a prosthetic device in the left L4-5 interspinous
space suggestive of a spacing device.

The other lumbar intervertebral discs are well hydrated.

At L1-2, L2-3 and L3-4, there is no focal disc protrusion causing focal neural compression or significant
foraminal narrowing.

At L4-5 there is a small posterior disc bulge. No neural compression is seen.

At L5-S1 there is a small right paracentral disc protrusion. This is causing right lateral recess stenosis
and there is some impingement upon the right S1 nerve root in its lateral recess.

The lumbar thecal sac is adequate throughout. The conus is normal.

Dictated and Electronically Signed by CHAWDA, SANJIV MD MRCP FRCR at 22-Mar-2023 03:45:03 PM EST
Consultant Neuroradiologist
TRG Europe Limited

Rear Ground Floor Hygeia Building, 66-68 College Road, Harrow, Middlesex, United Kingdom, HA1 1BE
This report was provided by THE RADIOLOGY GROUP. It contains privileged and confidential information. If you are not the
intended recipient, you are hereby notified that any distribution or copy of this information is strictly prohibited. A Fellow of the
Royal College of Radiologists (FRCR) Radiologist has reviewed the patient images and has approved this report.
Exam Date: 17-Mar-2023 12:56:12 PM Accession No: LOS9393
Patient: DIXON, NADINE Modality Type: MR
MRN: 17041974CH Description: SPINE^LUMBAR
Gender: F Location:
Birth Date: 17-Apr-1974 Referring:

IMPRESSION:
There are degenerative changes in the lower lumbar spine. No significant posterior disc protrusion is
seen at L4-5. At L5-S1 there is a right dorsolateral disc protrusion causing some impingement upon the
right S1 nerve root.

Recommendation: Follow up as clinically indicated.

Dictated and Electronically Signed by CHAWDA, SANJIV MD MRCP FRCR at 22-Mar-2023 03:45:03 PM EST
Consultant Neuroradiologist
TRG Europe Limited

Rear Ground Floor Hygeia Building, 66-68 College Road, Harrow, Middlesex, United Kingdom, HA1 1BE
This report was provided by THE RADIOLOGY GROUP. It contains privileged and confidential information. If you are not the
intended recipient, you are hereby notified that any distribution or copy of this information is strictly prohibited. A Fellow of the
Royal College of Radiologists (FRCR) Radiologist has reviewed the patient images and has approved this report.
Exam Date: 17-Mar-2023 12:56:12 PM Accession No: LOS9393
Patient: DIXON, NADINE Modality Type: MR
MRN: 17041974CH Description: SPINE^LUMBAR
Gender: F Location:
Birth Date: 17-Apr-1974 Referring:

Dictated and Electronically Signed by CHAWDA, SANJIV MD MRCP FRCR at 22-Mar-2023 03:45:03 PM EST
Consultant Neuroradiologist
TRG Europe Limited

Rear Ground Floor Hygeia Building, 66-68 College Road, Harrow, Middlesex, United Kingdom, HA1 1BE
This report was provided by THE RADIOLOGY GROUP. It contains privileged and confidential information. If you are not the
intended recipient, you are hereby notified that any distribution or copy of this information is strictly prohibited. A Fellow of the
Royal College of Radiologists (FRCR) Radiologist has reviewed the patient images and has approved this report.