Date : 00.00.00
Name of the Patient : Abc Xyza Chlmn / F / 10 yrs.
Referred by : Dr. Abc Xyzhari.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE with gradual progressive paraparesis since 6-7 months.
H/O fall while playing 1 year back.
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and 4 mm thick T2 Weighted sagittal images.
4 mm thick T1 Weighted and 7 mm thick T2 Weighted axial images.
The visualized dorso-lumbo-sacral vertebral bodies appear relatively hypointense to normal fatty marrow on the T1 Weighted images but appear isointense on the T2 Weighted images. This suggest predominance of red marrow.
The intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized lower dorsal spinal cord upto the D8 vertebral level shows normal signal. There is no cord compression.
The conus medullaris terminates at the L2 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
14.0 mm at L2-L3
12.0 mm at L3-L4
12.0 mm at L4-L5
10.0 mm at L5-S1.
Incidentally noted is mild bilateral hydronephrosis with hydroureter and a distended urinary bladder.
1. No significant abnormality is detected in the lumbo-sacral spine or the visualized lower dorsal spinal cord upto the D8 vertebral level.
2. Mild bilateral hydronephrosis with hydroureter and a distended urinary bladder which requires further evaluation.
3. Preponderance of hematopoeitic marrow.