Date : 00.00.00
Name of the Patient : Abc Xyzr Slmn / M / 50 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE since 5 years which has increased since 1 year.
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 L3-L4 and L4-L5 intervertebral discs.
There is Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis at L4, bilaterally. Resultant pseudoposterior disc bulge is noted at the L4-L5 level with bilateral neural foraminal narrowing and lateral recess stenosis. The facet joints at the L4-L5 level show hypertrophic degenerative changes. An anterior disc herniation is also seen at this level.
Small postero-central protruded disc is noted at the L5-S1 level.
A posteriorly bulging disc with peridiscal osteophytes and bilateral neural foraminal narrowing is noted at the L3-L4 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 :
15.0 mm at L1-L2
15.0 mm at L2-L3
12.0 mm at L3-L4
8.0 mm at L4-L5
10.0 mm at L5-S1.
1. Grade I spondylolisthesis of the L4 over the L5 vertebra without obvious spondylolysis at L4, bilaterally.
2. A pseudoposterior disc bulge at the L4-L5 level with bilateral neural foraminal narrowing and lateral recess stenosis with hypertrophic degenerative changes of the facet joints at this level.
3. Small postero-central protruded disc at the L5-S1 level.
4. A posteriorly bulging disc with peridiscal osteophytes and bilateral neural foraminal narrowing at the L3-L4 level.