sb/hs/nl/nl
w Date : 00.00.00

Name of the Patient : Abc Xyzalmn / M / 30 yrs.
Referred by : Dr. Abc Xyzcha.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain in the LLE with numbness.

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 L4-L5 and L5-S1 intervertebral discs.

There is Grade I spondylolisthesis of the L5 over the S1 vertebra with spondylolysis of the L5 vertebra. A left postero-lateral (foraminal) disc herniation is noted at the L5-S1 level with left neural foraminal narrowing and impingement of the foraminal segment of the exiting left L5 nerve root.

A small, postero-central disc herniation is noted at the L4-L5 level indenting the dural theca anteriorly.

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 D12 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 :

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

IMPRESSION :

1. Grade I spondylolisthesis of the L5 over the S1 vertebrae with spondylolysis of the L5 vertebra.

2. A left postero-lateral (foraminal) disc herniation at the L5-S1 level with left neural foraminal narrowing and impingement of the foraminal segment of the exiting left L5 nerve root.

3. A small, postero-central disc herniation at the L4-L5 level.