sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzal Blmn / M / 79 yrs.
Referred by : Dr. Abc Xyzshar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain in the RLE since 2-3 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 loss of water content of all the lumbar intervertebral discs except the L5-S1 disc.

There is Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis. A pseudo-posterior disc herniation is noted at this level with thecal sac compression. Slight compromise of the neural foramen is noted bilaterally. There is also hypertrophic facetal arthropathy bilaterally at this level.

A small posterior disc bulge is noted at the L3-L4 level.

Anterior disc herniations with anterior peridiscal osteophytes are noted in the dorso-lumbar region.

The lumbar vertebral bodies reveal normal signal intensity. The rest of 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.
..2/.







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

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

Incidentally noted is a cortical renal cyst on the left.

IMPRESSION :

1. Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis.

2. A pseudo-posterior disc herniation at the L4-L5 level with
hypertrophic facetal arthropathy bilaterally and canal stenosis at this level.