sb/hs
Date : 00.00.00

Name of the Patient : Abc Xyznben Galmn / F / 70 yrs.
Referred by : Dr. Abc Xyzolakia / Dr. Abc Xyzndhi.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O low backache radiating to BLE (left more than right), off and on since 0000.

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 reduction in height of the L5-S1 disc and loss of water content of the lumbar intervertebral discs.

There is Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with spondylolysis at L5 bilaterally and compromise of the neural foramina bilaterally at the L5-S1 level.

A pseudoposterior disc bulge with a peridiscal osteophyte is noted at the L5-S1 level.

Posterior and right postero-lateral disc bulges are noted at the L3-L4 and L4-L5 levels with slight right neural foraminal narrowing.

Right far lateral (extraforaminal) disc herniations are seen to indent the exiting right L3 and L4 nerve roots at the L3-L4 and L4-L5 levels, respectively.



The facet joints at the L4-L5 and L5-S1 levels show hypertrophic degenerative changes. There is also ligamentum flavum hypertrophy at the L5 and S1 levels with a resultant tight canal at these levels. Facetal hypertrophy is seen at the L3-L4 level.

Type II degenerative marrow changes are noted adjacent to the L5-S1 disc.

The visualized dorso-lumbo-sacral vertebral bodies show spotty fatty marrow changes suggesting osteoporosis. Mild facetal hypertrophy is noted at the D10-D11 and D11-D12 levels.

Slight anterior wedging of the D11 and D12 vertebral bodies is noted.

The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L2 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
19.0 mm at L2-L3
19.0 mm at L3-L4
12.0 mm at L4-L5
9.0 mm at L5-S1.
..3/.
















- 3 - Scan-00009


IMPRESSION :

1. Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with spondylolysis at L5 bilaterally and compromise of the neural foramina bilaterally at the L5-S1 level.

2. A pseudoposterior disc bulge with a peridiscal osteophyte at the L5-S1 level.

3. Posterior and right postero-lateral disc bulges at the L3-L4 and L4-L5 levels with slight right neural foraminal narrowing.

4. Hypertrophic facetal arthropathy at the L4-L5 and L5-S1 levels with ligamentum flavum hypertrophy at the L5 and S1 levels with a resultant tight canal at these levels.

5. Fatty marrow changes in the visualized dorso-lumbo-sacral vertebrae suggests osteoporosis.

6. Right far lateral (extraforaminal) disc herniations at the L3-L4 and L4-L5 levels.