Date : 00.00.00
Name of the Patient : Abc XyzJlmn / F / 49 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 2-3 months.
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.
There is loss of water content of the L4-L5 and L5-S1 intervertebral discs.
There is Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis. Resultant pseudo-posterior disc bulge is noted at the L4-L5 level. There is also hypertrophic facetal arthropathy and compromise of the neural foramen, bilaterally at this level. Facet joint effusion is noted at the L4-L5 level bilaterally.
A small postero-central protruded disc is noted at the L5-S1 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 :
16.0 mm at L1-L2
16.0 mm at L2-L3
15.0 mm at L3-L4
10.0 mm at L4-L5
9.0 mm at L5-S1.
1. Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis.
2. A pseudo-posterior disc bulge at the L4-L5 level with hypertrophic facetal arthropathy and compromise of the neural foramen, bilaterally at this level. Facet joint effusion is noted at the L4-L5 level bilaterally.