Date : 00.00.00
Name of the Patient : Abc Xyz Nalmn / F / 45 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 5-6 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 loss of water content of the L5-S1 intervertebral disc.
There is Grade I spondylolisthesis of the L5 over the S1 vertebra with probable spondylolysis at L5 bilaterally. A resultant pseudoposterior disc bulge is noted at the L5-S1 level.
A minimal posterior disc bulge is seen at the L4-L5 level.
Slight facetal hypertrophy is noted at the L3-L4 and L4-L5 levels.
A hemangioma with fat content is seen in the L1 vertebral body.
The rest of 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 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
15.0 mm at L2-L3
15.0 mm at L3-L4
12.0 mm at L4-L5
13.0 mm at L5-S1.
Grade I spondylolisthesis of the L5 over the S1 vertebra with probable spondylolysis at L5 bilaterally with a pseudoposterior disc bulge at the L5-S1 level.