ke/sb/nl/rg.

Date : 00.00.00

Name of the Patient : Abc Xyzed N. Talmn / F / 58 yrs.
Referred by : Dr. Abc Xyznshah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE.

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 over the S1 vertebral body with spondylolysis at L5.

A pseudoposterior disc herniation is seen at the L5-S1 level with anterior indentation of the thecal sac and bilateral neural foraminal narrowing and mild indentation on L5 nerve roots bilaterally.

A small disc protrusion is noted at L1-L2 level and L4-L5 level. The lumbar intervertebral discs show loss of water content.

Schmorls node is seen in the superior aspect of the D12 and L2 vertebral bodies.

The facet joints at the L4-L5 and L5-S1 levels appear hypertrophied.

Type II degenerative changes are noted in the L5 and S1 vertebral bodies adjacent to the L5-S1 intervertebral disc.

..2/.







The rest of 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 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 :

17.0 mm at L1-L2
20.0 mm at L2-L3
19.0 mm at L3-L4
13.0 mm at L4-L5
8.0 mm at L5-S1.

IMPRESSION :

1. Grade I spondylolisthesis of the L5 over the S1 vertebral body with spondylolysis at L5.

2. A pseudoposterior disc herniation at the L5-S1 level with bilateral neural foraminal narrowing and indentation of the L5 nerve roots bilaterally.

3. A small disc protrusion at L1-L2 level and L4-L5 level.

4. Slight facetal hypertrophy at the L5-S1 and L4-L5 levels.