Date : 00.00.00
Name of the Patient : Abc Xyz Kaplmn / F / 20 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE since 1 year which has increased since 4 months.
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.
4 mm thick T1 Weighted coronal images.
There is evidence of a well-defined, extramedullary/ intradural mass lesion within the spinal canal at the L1/L2 levels and measuring approximately 1.5 x 1.8 x 2.1 cms. This lesion is iso to hypointense to normal cord on the T1 Weighted images and is iso to hyperintense to normal cord on the T2 Weighted images. This lesion is seen to indent the tip of the conus medullaris which is displaced anteriorly and slightly to the right.
A postero-central disc protrusion is noted at the L5-S1 level. This intervertebral disc shows loss of water content.
There is a mild posterior disc bulge at the L4-L5 level.
Mild facetal hypertrophy is evident at the L4-L5 level.
The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of 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 D12-L1
15.0 mm at L1-L2
18.0 mm at L2-L3
15.0 mm at L3-L4
14.0 mm at L4-L5
11.0 mm at L5-S1.
The MRI features are suggestive of a well-defined, extramedullary/intradural mass lesion within the spinal canal at the L1/L2 levels and measuring approximately 1.5 x 1.8 x 2.1 cms. This may represent a neoplastic process like:
1. A neurofibroma.
2. A meningioma.
A contrast enhanced scan may be useful if clinically indicated.