sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyza Merclmn / F / 49 yrs.
Referred by : Dr. Abc Xyzonawalla.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain in the RLE with paresthesias.

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 sacralization of the L5 vertebra and the L3 vertebral body is as marked on the film.

There is Grade I spondylolisthesis of the L4 over the L5 vertebra with probable spondylolysis at L4. Hypertrophic facetal arthropathy is noted at the L4-L5 level bilaterally. A small, pseudo-posterior disc bulge is also noted at this level with slight bilateral neural foraminal narrowing.

A small, right postero-lateral disc bulge is noted at the L3-L4 level with slight right neural foraminal narrowing.

Type II degenerative marrow changes are noted adjacent to the L4-L5 intervertebral disc.





The rest of the lumbar vertebral bodies reveal normal signal intensity. The remaining 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
17.0 mm at L2-L3
16.0 mm at L3-L4
11.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebra and the L3 vertebral body is as marked on the film.

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

3. Hypertrophic facetal arthropathy at the L4-L5 level bilaterally with a small, pseudo-posterior disc bulge at this level with a resultant tight lumbar canal at the L4-L5 level.

4. A small, right postero-lateral disc bulge at the L3-L4 level with slight right neural foraminal narrowing.