Date : 00.00.00
Name of the Patient : Abc Xyz L. Chalmn / F / 2 yrs.
Referred by : Dr. Abc Xyzngaonkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O pain in the lumbar region.
M.R.I of the lumbo-sacral spine was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted sagittal images.
4 mm thick T1 Weighted and T2 Weighted axial images.
FEW IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.
Multiple segmentation anomalies is noted in the lumbar region with presence of spina bifida in the lower lumbar and sacral region. There appears to be partial agenesis of the sacrum.
The spinal cord is split in two hemicords over approximately D12 to L4 vertebral levels. These are separated by a bony spur at the L2/L3 levels with presence of separate dural sacs at these levels.
Note is made of an intradural lesion which is isointense to fat on all the pulse sequences in the sacral region. This would represent a lipoma and the cord is seen to be tethered into this lesion.
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 MRI features are suggestive of diastematomyelia with a bony spur at the L2/L3 vertebral levels with tethering of the cord into the intradural lipoma in the sacral region as described.