ke/sb/rg/nl

Name of the Patient : Abc XyzA. lmn / F / 33 yrs.
Referred by : Dr. Abc Xyzhah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE with paresthesias since February 0000.

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 partial sacralization of the L5 vertebral body on the right side and the L1 vertebra is as marked on the film.

There is Grade I spondylolisthesis of the L4 over the L5 vertebral body with spondylolysis at the L5 level, bilaterally.

A pseudo-posterior disc bulge is seen at the L4-L5 level with anterior indentation of the thecal sac. A small left far lateral disc bulge is also noted at this level.

Suspicious spondylolysis of the L3 vertebra is noted.

Schmorls nodes are seen in the lumbar region. The L2-L3 and L4-L5 intervertebral discs show slight loss of water content.

There is slight anterior wedging of the L1 vertebral body with fatty changes in the lumbar vertebral bodies.
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- 2 - Scan-00001


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 S1 level.

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

18.0 mm at L1-L2
17.0 mm at L2-L3
12.0 mm at L3-L4
12.0 mm at L4-L5
8.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Partial sacralization of the L5 vertebral body on the right side.

2. Grade I spondylolisthesis of the L4 over the L5 vertebral body with spondylolysis at the L5 level bilaterally.

3. A pseudo-posterior disc bulge at the L4-L5 level.

4. Suspicious spondylolysis of L3 is noted.