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SB/BV/NL/NL

Name of the Patient : Abc Xyz lmn / M / 51 yrs.
Referred by : Dr. Abc Xyzansali.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE.
H/O fall in 0000 with injury to the back.

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 sacralization of the L5 vertebra which is as marked on the film.

There is loss of water content of the lumbar intervertebral discs.

There is Grade I spondylolisthesis of the L4 over the L5 vertebra with spondylolysis at L4, bilaterally. The L4-L5 intervertebral disc is reduced in height with Type II degenerative marrow changes adjacent to this disc. A small postero-central protrusion at the L4-L5 disc is noted. Slight facetal hypertrophy is also noted at this level.

Slight facetal hypertrophy is noted at the L3-L4 level.

There is central wedging of the D12 vertebral body without change in signal intensity.

The rest of the lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.


The conus medullaris terminates at the D12 level and the thecal sac terminates at the L5-S1 level.

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

16.0 mm at L1-L2
19.0 mm at L2-L3
19.0 mm at L3-L4
19.0 mm at L4-L5
10.0 mm at L5-S1.

IMPRESSION :

1. Sacralization of the L5 vertebra.

2. Grade I spondylolisthesis of the L4 over the L5 vertebra with spondylolysis at L4, bilaterally.

3. A small postero-central disc protrusion at the L4-L5 level with slight facetal hypertrophy at this level.

4. Central wedging of the D12 vertebral body without change in signal intensity may be due to previous trauma.

As compared to the previous MRI dated 00.00.0000, there is no significant increase in the degree of the forward translation of the L4 over the L5 vertebra.


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