hs/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzJalmn / M / 42 yrs.
Referred by : Dr. Abc XyzBhojraj.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache (occasional) with pain radiating to BLE since 2 1/2 years.

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 Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra. There is a break of the pars interarticularis of the L5 vertebra bilaterally.

There is mild retroplacement of the L4 vertebra over the L5 vertebra.

A postero-central disc protrusion is seen to indent the thecal sac at the L4-L5 level.

Mild posterior disc bulges are noted at the L3-L4 and L5-S1 levels.

There is anterior wedging of the D11 vertebral body without change in its signal intensity.

Anterior disc herniations with peridiscal osteophytes are noted at the D11-D12, D12-L1, L4-L5 and L5-S1 levels. The D10-D11, D11-D12, D12-L1, L3-L4, L4-L5 and L5-S1 intervertebral discs show loss of water content.
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Type II degenerative changes are seen within the inferior aspect of the D12 and L5 vertebral bodies.

A well-circumscribed area of hyperintensity on all the pulse sequences is seen within the L1 vertebral body and this may represent a hemangioma with high fat content.

The rest of 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 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
17.0 mm at L3-L4
16.0 mm at L4-L5
16.0 mm at L5-S1.

IMPRESSION :

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

2. A postero-central disc protrusion at the L4-L5 level.

3. Mild posterior disc bulges at the L3-L4 and L5-S1 levels.