sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza Divlmn / F / 43 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 6 months.

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 dorso-lumbar and L4-L5 intervertebral disc.

Segmentation anomalies of the D10, D12 and L1 vertebrae is noted. There is Grade I spondylolisthesis of the L4 over the L5 vertebra with spondylolysis at L4, bilaterally. A resultant pseudoposterior disc herniation is noted at the L4-L5 level with slight right neural foraminal narrowing. Slight ligamentum flavum hypertrophy is noted at the L4 vertebral level.

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







The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S2 level.

Fat is noted in the filum terminale over the L3 to L5 vertebral levels.

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

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

IMPRESSION :

1. Segmentation anomalies of the D10, D12 and L1 vertebrae.

2. Grade I spondylolisthesis of the L4 over the L5 vertebra with spondylolysis at L4, bilaterally.

3. A pseudoposterior disc herniation at the L4-L5 level with slight right neural foraminal narrowing.

4. Slight ligamentum flavum hypertrophy at the L4 vertebral level.