sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz Shlmn / F / 30 yrs.
Referred by : Dr. Abc XyzGawhale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with radicular pain to the RLE and paresthesias since 3 years.
H/O being hit by a log prior to this.
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 evidence of spondylolysis of the L5 bilaterally without any spondylolisthesis (scans 106.4, 109.5, 103.7)
There is a small posterior disc bulge at the L5-S1 level with indentation upon the right S1 nerve root (scans 109.4, 106.3).
The lumbar vertebral bodies and the 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.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
15.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
13.0 mm at L5-S1.
IMPRESSION :
1. Spondylolysis of the L5 bilaterally.
2. A small posterior disc bulge at the L5-S1 level with indentation upon the right S1 nerve root.