sb/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzH. lmn / M / 16 yrs.
Referred by : Dr. Abc Xyz. Sheth.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the LLE since 1 year.

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 with spondylolysis at L5 bilaterally. A resultant pseudo-posterior disc bulge is noted at the L5-S1 level with slight neural foraminal narrowing, bilaterally.

Minimal posterior disc bulges are noted at the L3-L4, L4-L5 and L5-S1 levels. The L4-L5 facet joints show mild degenerative changes.

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




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The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

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

IMPRESSION :

Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with spondylolysis at L5 bilaterally and a resultant pseudo-posterior disc bulge at the L5-S1 level.