sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzchandra Klmn / M / 59 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O tingling/numbness in BLE on walking since 2 1/2 - 3 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 sacralization of the L5 vertebra which is as marked on the film.

There is loss of water content of the L2-L3, L3-L4 and L4-L5 intervertebral discs.

There is Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis.

There is a pseudoposterior disc herniation at the L4-L5 level with thecal sac compression. There is also hypertrophic facetal arthropathy and ligamentum flavum hypertrophy and resultant canal stenosis at this level.

A small posterior and left postero-lateral disc bulge is noted at the L3-L4 level.

A small posterior disc bulge is noted at the L2-L3 level. A left far lateral (extraforaminal) disc herniation is also noted at this level with indentation upon the foraminal left L2 nerve root.
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Slight facetal hypertrophy is also noted at the L5-S1 and L3-L4 levels.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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 :

16.0 mm at L1-L2
15.0 mm at L2-L3
13.0 mm at L3-L4
8.0 mm at L4-L5
11.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebra.

2. Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis.

3. A pseudoposterior disc herniation at the L4-L5 level with thecal sac compression, hypertrophic facetal arthropathy and ligamentum flavum hypertrophy and resultant canal stenosis at this level.

4. A small posterior and left postero-lateral disc bulge at the L3-L4 level.