Date : 00.00.00
Name of the Patient : Abc Xyz Agalmn / F / 50 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE with paresthesias since 2-3 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 mild retroplacement of the L5 vertebra over the S1 vertebra. There is a probable break of the pars interarticularis of the L5 vertebra bilaterally. Please correlate with plain radiographs.
There is a left paracentral disc herniation indenting the thecal sac at the L5-S1 level. A small disc portion is seen to lie adjacent to the left lateral aspect of the thecal sac at this level.
A mild posterior disc bulge is noted at the L4-L5 level.
The L5-S1 intervertebral disc shows loss of water content.
The lumbar vertebral bodies and the remaining 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 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 :
19.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
15.0 mm at L4-L5
14.0 mm at L5-S1.
1. Retroplacement of the L5 vertebra over the S1 vertebra and probable spondylolysis of the L5 vertebra bilaterally.
2. Left paracentral disc herniation at the L5-S1 level.