sb/bv
Date : 00.00.00

Name of the Patient : Abc XyzP. Plmn / M / 40 yrs.
Referred by : Dr. Abc Xyzdar / Dr. Abc Xyzhru.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 0000.
H/O fall prior to this.

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 over the S1 vertebra with spondylolysis. A resultant small pseudoposterior disc bulge is noted at this level.

A minimal posterior disc bulge is noted at the L4-L5 level.

There is slight increase in the epidural fat in the sacral region and at the L5 vertebral level. This may suggest epidural lipomatosis.

The lumbar vertebral bodies and the 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 L1 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 :

19.0 mm at L1-L2
18.0 mm at L2-L3
19.0 mm at L3-L4
16.0 mm at L4-L5
20.0 mm at L5-S1.

IMPRESSION :

1. Grade I spondylolisthesis of the L5 over the S1 vertebra with spondylolysis.

2. A small pseudoposterior disc bulge at the L5-S1 level.

As compared to the previous MRI (study no:0000) dated 00.00.00, there is no significant change noted.