sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzee Shlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 2 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 lumbar intervertebral discs.

There is Grade I spondylolisthesis of the L5 over the S1 vertebra without obvious spondylolysis (kindly correlate with plain radiographs).

A pseudo-posterior disc bulge at the L5-S1 level with bilateral neural foraminal narrowing. There is also hypertrophic facetal arthropathy with resultant canal stenosis at that level.

A small postero-central protruded disc is noted at the L4-L5 level. Bilateral far lateral disc bulges are also noted at this level. There is also facetal hypertrophy at the L4-L5 level.

A small posterior disc bulge is noted at the L3-L4 level.
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The lumbar vertebral bodies 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 D12-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
13.0 mm at L2-L3
10.0 mm at L3-L4
9.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. Grade I spondylolisthesis of the L5 over the S1 vertebra without obvious spondylolysis (kindly correlate with plain radiographs).

2. A pseudo-posterior disc bulge at the L5-S1 level with bilateral neural foraminal narrowing. There is also hypertrophic facetal arthropathy with resultant canal stenosis at that level.

3. A small postero-central protruded disc at the L4-L5 level wtih facetal hypertrophy at this level.

4. A small posterior disc bulge at the L3-L4 level.