sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyz. Jlmn / F / 56 yrs.
Referred by : Dr. Abc Xyzrekh.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the LLE 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 slight loss of water content of the lower lumbar intervertebral discs.

There is minimal forward translation of the L5 over the S1 vertebra without obvious spondylolysis.

Minimal posterior and left far lateral disc bulges are noted at the L4-L5 and L5-S1 levels.

There is hypertrophic facetal arthropathy at the L5-S1 level, more on the right side and at the L4-L5 level on the left with slight right neural foraminal narrowing at the L5-S1 level. Slight ligamentum flavum hypertrophy is also noted at these levels.

The lumbar vertebral bodies show spotty fatty marrow changes. A hemangioma with fat content is noted in the L5 vertebral body.






The remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L2 level and the thecal sac terminates at the S3 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
18.0 mm at L2-L3
15.0 mm at L3-L4
16.0 mm at L4-L5
12.0 mm at L5-S1.

IMPRESSION :

1. Minimal forward translation of the L5 over the S1 vertebra without obvious spondylolysis.

2. Minimal posterior and left far lateral disc bulges at the L4-L5 and L5-S1 levels.

3. Hypertrophic facetal arthropathy at the L5-S1 level, more on the right side and at the L4-L5 level on the left.