sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzti Pralmn / F / 46 yrs.
Referred by : Dr. Abc Xyznawane.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 3 years radiating to the LLE with paresthesias since 2 months.

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 sacralization of the L5 vertebra and the L1 vertebral body is as marked on the film.

There is loss of water content of the L1-L2 and L4-L5 intervertebral discs.

There is Grade I spondylolisthesis of the L4 over the L5 vertebra with probable spondylolysis at L4, bilaterally. A resultant pseudo-posterior disc bulge is noted at the L4-L5 level indenting the dural theca anteriorly.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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.
- 2 - Scan-00007


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

16.0 mm at L1-L2

17.0 mm at L2-L3

20.0 mm at L3-L4

16.0 mm at L4-L5

11.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebra.

2. Grade I spondylolisthesis of the L4 over the L5 vertebra with probable spondylolysis at L4, bilaterally and a pseudo-posterior disc bulge at the L4-L5 level.