sb/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xylmn / M / 82 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache.

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 lumbar intervertebral discs.

There is Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra without obvious spondylolysis.

Posterior and bilateral far lateral (extraforaminal) disc bulges are noted at the L3-L4, L4-L5 and L5-S1 levels. Slight right neural foraminal narrowing is noted at the L5-S1 level and slight bilateral neural foraminal narrowing is noted at the L3-L4 and L4-L5 levels.

Facetal and slight ligamentum flavum hypertrophy is noted at the L5-S1 level, more so on the right side.

The lumbar vertebral bodies show spotty fatty marrow changes.

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 S1 level.

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

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

IMPRESSION :

1. Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra without obvious spondylolysis.

2. Posterior and bilateral far lateral (extraforaminal) disc bulges at the L3-L4, L4-L5 and L5-S1 levels.

3. Facetal and slight ligamentum flavum hypertrophy at the L5-S1 level, more so on the right side.