Date : 00.00.00
Name of the Patient : Abc XyzHuslmn / F / 44 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O headaches with giddiness.
Also C/O backache and pain in the suprascapular region with radiation of pain to BLE and the LUE with paresthesias in the LUE.
Alleged H/O vehicular accident in 0000.
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 a break of the pars interarticularis of the L5 vertebra, bilaterally.
A small posterior disc herniation with peridiscal osteophytes is seen to narrow both neural foramina at the L5-S1 level. The L5-S1 intervertebral disc shows loss of water content.
A posteriorly bulging disc with a right postero-lateral disc protrusion with mild right neural foraminal narrowing is seen at the L4-L5 level.
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 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
16.0 mm at L2-L3
14.0 mm at L3-L4
15.0 mm at L4-L5
13.0 mm at L5-S1.
The MRI features are suggestive of :
1. Spondylolysis of the L5 vertebra.
2. A small posterior disc herniation with peridiscal osteophytes at the L5-S1 level.