sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza Milmn / F / 26 yrs.
Referred by : Dr. Abc Xyzonawalla.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain to the LLE since 1 week.

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 L3-L4, L4-L5 and L5-S1 intervertebral discs.

There is Grade I spondylolisthesis of the L5 over the S1 vertebra with probable spondylolysis at L5, bilaterally (To correlate with plain radiographs). A resultant small postero-central disc herniation is noted at the L5-S1 level.

A postero-central and left paracentral disc herniation with peridiscal osteophytes is noted at the L4-L5 level. Slight inferior migration of the disc fragment is seen with indentation on the traversing left L5 nerve root.

A postero-central disc herniation with peridiscal osteophytes is noted at the L3-L4 level, indenting the dural theca anteriorly.







Slight facetal hypertrophy is noted at the L4-L5 level.

The lumbar vertebral bodies and the remaining 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.

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

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

IMPRESSION :

1. Grade I spondylolisthesis of the L5 over the S1 vertebra with probable spondylolysis at L5, bilaterally (To correlate with plain radiographs).

2. A small postero-central disc herniation at the L5-S1 level.

3. A postero-central and left paracentral disc herniation with peridiscal osteophytes at the L4-L5 level and slight inferior migration of the disc fragment indenting the traversing left L5 nerve root.

4. A postero-central disc herniation with peridiscal osteophytes at the L3-L4 level.