Date : 00.00.00
Name of the Patient : Abc Xyz Panlmn / M / 33 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE since 3 years.
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 evidence of spondylolysis of the L5 vertebra bilaterally without significant spondylolisthesis. A minimal right paracentral disc bulge is noted at the L5-S1 level.
A minimal posterior disc bulge is noted at the L4-L5 level.
There is slight anterior wedging of the L1 vertebral body with focal fatty change adjacent to the inferior cortical endplate anteriorly.
The rest of 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 D12-L1 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
15.0 mm at L1-L2
17.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
18.0 mm at L5-S1.
The T2 Weighted sagittal images of the dorsal spine do not reveal any significant feature of note.
1. Spondylolysis of the L5 vertebra without significant spondylolisthesis.
2. Slight anterior wedging of the L1 vertebral body may be the sequelae of previous trauma.