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Date : 00.00.00

Name of the Patient : Abc XyzKlmn / F / 32 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE with paresthesias since 1 month.

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 an exaggerated lumbar lordosis. There is loss of water content of the L5-S1 intervertebral disc.

There is Grade I spondylolisthesis of the L5 over the S1 vertebra, without obvious spondylolysis.

There is a right postero-lateral disc herniation at the L5-S1 level with right neural foraminal narrowing and indentation on the traversing right S1 nerve root. The facet joints at the L5-S1 level appear slightly hypertrophied, more on the right side.

A small posterior disc bulge is identified at the L4-L5 level.

The lumbar vertebral bodies and the remaining intervertebral discs 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 D12-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 :

14.0 mm at L1-L2
16.0 mm at L2-L3
16.0 mm at L3-L4
12.0 mm at L4-L5
8.0 mm at L5-S1.

IMPRESSION :

1. Grade I spondylolisthesis of the L5 over the S1 vertebra, without obvious spondylolysis.

2. A right postero-lateral disc herniation at the L5-S1 level with right neural foraminal narrowing and indentation on the traversing right S1 nerve root with hypertrophy of the facet joints, more on the right side.







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