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    Mrs. Janki Devi, a 65-year-old female, underwent an MRI of the lumbosacral spine which found grade I anterolisthesis of L4 over L5 with bilateral pars interarticularis breach. Spondylotic changes including osteophytes, ligamentum flavum thickening, disc desiccation, and facet arthropathy were observed. Diffuse disc bulges from L2 to S1 were noted causing narrowing of the lateral recesses and compression of the traversing nerve roots. A disc bulge and protrusion at L4-L5 caused narrowing of the lateral recesses and compression of the cauda equina and bilateral L5 nerve roots. The spinal

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    Mrs. Janki Devi, a 65-year-old female, underwent an MRI of the lumbosacral spine which found grade I anterolisthesis of L4 over L5 with bilateral pars interarticularis breach. Spondylotic changes including osteophytes, ligamentum flavum thickening, disc desiccation, and facet arthropathy were observed. Diffuse disc bulges from L2 to S1 were noted causing narrowing of the lateral recesses and compression of the traversing nerve roots. A disc bulge and protrusion at L4-L5 caused narrowing of the lateral recesses and compression of the cauda equina and bilateral L5 nerve roots. The spinal

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    Mrs. Janki Devi, a 65-year-old female, underwent an MRI of the lumbosacral spine which found grade I anterolisthesis of L4 over L5 with bilateral pars interarticularis breach. Spondylotic changes including osteophytes, ligamentum flavum thickening, disc desiccation, and facet arthropathy were observed. Diffuse disc bulges from L2 to S1 were noted causing narrowing of the lateral recesses and compression of the traversing nerve roots. A disc bulge and protrusion at L4-L5 caused narrowing of the lateral recesses and compression of the cauda equina and bilateral L5 nerve roots. The spinal

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    20 views2 pages

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    udayquotex
    Mrs. Janki Devi, a 65-year-old female, underwent an MRI of the lumbosacral spine which found grade I anterolisthesis of L4 over L5 with bilateral pars interarticularis breach. Spondylotic changes including osteophytes, ligamentum flavum thickening, disc desiccation, and facet arthropathy were observed. Diffuse disc bulges from L2 to S1 were noted causing narrowing of the lateral recesses and compression of the traversing nerve roots. A disc bulge and protrusion at L4-L5 caused narrowing of the lateral recesses and compression of the cauda equina and bilateral L5 nerve roots. The spinal

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    of 2

    Lab No.

    : 1161873 UHID : MR/23/025545


    Patient Name : Mrs. JANKI DEVI Req. Date & Time : 17-Oct-2023 12:54 PM
    Age/Sex : 65.1 YRS Sex : Female Sample Collection : 26-Oct-2023 02:43 PM
    OPD/IPD No. : OPD Reporting Date/Time : 26-Oct-2023 03:31 PM
    Doctor : Dr. RK THAKUR

    MRI
    MRI Lumbosacral Spine without Contrast
    Protocol:- Multiplanar MR imaging of the lumbosacral spine was carried out using a synergy spine coil on a 1.5 Tesla system. T1W, TSE –
    T2W sequences were obtained in appropriate planes.

    RESULTS:

    Grade I anterolisthesis of L4 over L5 vertebra is seen with breach in the bilateral pars-interarticularis.

    Spondylotic changes are noted in the form of multilevel anterior and lateral osteophytes, ligamentum flavum
    thickening, grade III disc desiccation, Schmorl's nodes, reduced vertebral body heights and facetal
    arthropathy.

    Mild diffuse disc bulge is noted at L5-S1 level causing mild narrowing of bilateral lateral recesses and mild
    compression upon bilateral traversing S1 nerve roots.

    Diffuse disc bulge with posterocentral protrusion and superior migration of disc material is noted at L4-
    L5 level causing narrowing of bilateral lateral recesses and compression upon cauda equina and bilateral
    traversing L5 nerve roots. The minimal residual AP canal diameter in the mid-sagittal plane measures ~ 7.8
    mm at mid L4 vertebral body level.

    Mild diffuse disc bulge is noted at L3-L4 level causing mild narrowing of bilateral lateral recesses and mild
    compression upon bilateral traversing L4 nerve roots.

    Diffuse disc bulge is noted at L2-L3 level causing narrowing of bilateral lateral recesses and compression
    upon bilateral traversing L3 nerve roots.

    Mild diffuse disc bulge is noted at L1-L2 level causing mild narrowing of bilateral lateral recesses and closely
    abutting bilateral traversing L2 nerve roots.

    Height of rest of the vertebral bodies is normal.

    Soft tissue structures are normal.

    No pre / paraspinal soft tissue collection is seen.

    Spinal cord shows normal MR morphology and signal characteristics, it ends at L1.

    Note:- This report IS NOT valid FOR medico-legal purpose. Please contact FOR ANY typographical ERRORS AT front desk WITHIN 7 days of receiving the report.

    Page 1 of 2
    Lab No. : 1161873 UHID : MR/23/025545
    Patient Name : Mrs. JANKI DEVI Req. Date & Time : 17-Oct-2023 12:54 PM
    Age/Sex : 65.1 YRS Sex : Female Sample Collection : 26-Oct-2023 02:43 PM
    OPD/IPD No. : OPD Reporting Date/Time : 26-Oct-2023 03:31 PM
    Doctor : Dr. RK THAKUR
    Signal from the cord, conus medullaris and nerve roots forming the cauda equina is normal.

    Please correlate clinically.

    B.S
    Disclaimer : This report is prepared on the basis of entire series of sequences and not the images provided. (A CD of entire series might be requested if
    required). This is only a professional opinion based on interpretation of patient images and not the final diagnosis. The findings herein above have to be
    correlated with clinical profile and other investigations. In a case of any major discrepancy, please contact our centre immediately. Difference between
    opinion based on CT findings and that of MRI is radiologically expected and accepted. Non-contrast scans have their own limitations, therefore, a contrast
    based study is advised in case of a strong persistent clinical suspicion.

    Note:- This report IS NOT valid FOR medico-legal purpose. Please contact FOR ANY typographical ERRORS AT front desk WITHIN 7 days of receiving the report.

    Page 2 of 2

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