sb/hs/nl/nl
Name of the Patient : Abc XyzAl-Aklmn / M / 35 yrs.
Referred by : Dr. Abc Xyz. Kapadia.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache.
EXAMINATION :
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.
OBSERVATION :
There is evidence of spondylolysis of the L4 vertebra on the left and of the L5 vertebra on the right without significant listhesis.
There is loss of water content of the L5-S1 intervertebral disc.
There is a small, right paracentral disc herniation with peridiscal osteophytes at the L5-S1 level, minimally indenting the traversing right S1 nerve root.
A minimal posterior disc bulge is noted 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 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 :
20.0 mm at L1-L2
19.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
13.0 mm at L5-S1.
Screening, T1 Weighted coronal images of the sacro-iliac joints reveal no significant abnormality.
Screening, T2 Weighted sagittal images of the dorsal spine reveal small posterior peridiscal osteophytes at the D6-D7 level on the left. The visualized dorsal spinal cord shows normal signal intensity.
IMPRESSION :
The MRI features are suggestive of :
1. Spondylolysis of the L4 vertebra on the left and of the L5 vertebra on the right without significant listhesis.
2. A small, right paracentral disc herniation with peridiscal osteophytes at the L5-S1 level, minimally indenting the traversing right S1 nerve root.
3. Small posterior peridiscal osteophytes at the D6-D7 level on the left.