Date : 00.00.00
Name of the Patient : Abc Xyzi Dhalmn / M / 26 yrs.
Referred by : Dr. Abc Xyznjabi.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache since 1 1/2 months.
H/O lifting heavy weights.
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 slight forward translation of the L5 vertebra over the S1 vertebra. Also seen is a break of the pars interarticularis of the L5 vertebra bilaterally.
A posterior disc bulge is noted at the L5-S1 level.
A well circumscribed lesion having a diameter of approximately 1.0 cm is seen in the right iliac bone and is of undetermined etiology. This lesion is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images (?? bone cyst).
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 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
16.0 mm at L2-L3
15.0 mm at L3-L4
16.0 mm at L4-L5
17.0 mm at L5-S1.
1. Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra.
2. Spondylolysis of the L5 vertebra.