sb/hs/nl/nl
Name of the Patient : Abc Xyzar Galmn / M / 38 yrs.
Referred by : Dr. Abc Xyzrani.
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 slight loss of water content of the lumbar intervertebral discs.
There is a spina bifida of the L5 vertebra.
There is slight scoliosis of the lumbar spine with convexity to the left.
There is Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with probable spondylolysis at L5, bilaterally. A resultant pseudoposterior disc herniation is noted at the L5-S1 level with slight bilateral neural foraminal narrowing and impingement of the exiting left L5 nerve root in the left neural foramen at the L5-S1 level.
There is a postero-central and left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level indenting the traversing left L5 nerve root.
Small posterior disc bulges with peridiscal osteophytes are noted at the D12-L1, L1-L2, L2-L3 and L3-L4 levels.
- 2 - Scan-00003
The lumbar vertebral bodies 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
15.0 mm at L2-L3
14.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. Slight scoliosis of the lumbar spine with convexity to the left.
2. Grade I spondylolisthesis of the L5 vertebra over the S1 vertebra with probable spondylolysis at L5, bilaterally.
3. A pseudoposterior disc herniation at the L5-S1 level with slight bilateral neural foraminal narrowing and impingement of the exiting left L5 nerve root in the left neural foramen at the L5-S1 level.
4. A postero-central and left postero-lateral disc herniation with peridiscal osteophytes at the L4-L5 level indenting the traversing left L5 nerve root.