LS Spine X-Ray Interpretation - INDU, 27F (31/07/2026)

SYSTEMATIC ANALYSIS

1. Vertebral Alignment

• AP View: The lumbar spine is well-aligned along the midline. No lateral curvature (scoliosis) is seen. Pedicles are symmetrically positioned bilaterally.
• Lateral View: The posterior vertebral body line is smooth and continuous. No anterolisthesis (forward slippage) or retrolisthesis (backward slippage) is identified at any level.

2. Lumbar Lordosis

• Normal lumbar lordosis is preserved on the lateral view. There is no flattening or exaggeration of the physiological inward curvature. This is a normal finding.

3. Vertebral Body Morphology (L1-L5)

• All vertebral bodies show normal rectangular shape and height.
• No compression fractures, wedge deformities, or structural collapse.
• Endplates are smooth and intact. No osteophytes (bone spurs) or syndesmophytes (ligamentous ossification seen in spondyloarthropathies like ankylosing spondylitis).
• Bone density appears grossly normal for a 27-year-old female.

4. Intervertebral Disc Spaces

• Disc spaces from L1-L2 through L5-S1 appear well preserved with no significant narrowing.
• No disc space collapse. This is reassuring against degenerative disc disease.

5. Posterior Elements

• Spinous processes, transverse processes, pedicles, laminae, and facet joints appear intact and unremarkable.
• No obvious facet hypertrophy or arthritic changes.

6. Sacroiliac (SI) Joints

• Bilateral SI joints appear symmetric with normal joint space width.
• No subchondral sclerosis, erosions, or bridging (ankylosis) - making active sacroiliitis unlikely on this view.

7. Pelvis and Hip Joints

• Pelvic ring is intact. Femoral heads and hip joint spaces appear normal bilaterally.
• No fracture or dislocation.

8. Soft Tissues

• Normal distribution of bowel gas seen overlying the abdomen. No abnormal calcifications (renal calculi, etc.) are grossly visible on plain film.

IMPRESSION

Normal AP and Lateral Lumbar Spine X-Ray for a 27-year-old female.

• No fracture, dislocation, or spondylolisthesis
• No significant disc space narrowing
• No scoliosis or abnormal lordosis
• No lytic/sclerotic bone lesions
• No sacroiliitis
• Bone density appears normal for age

Important Clinical Notes

• Disc herniation (most common cause of sciatica in young adults)
• Facet joint synovitis
• Nerve root compression
• Early spondyloarthropathy (HLA-B27 seronegative conditions may be X-ray negative early on)