s Date : 00.00.00
Name of the Patient : Abc Xyzndas Milmn / M / 58 yrs.
Referred by : Dr. Abc Xyzla.
Examination : M.R.I. of the Spine.
CLINICAL PROFILE :
H/O being operated for multicentric intracranial malignant ependymoma on 00.00.00.
No complaints at present.
To see leptomeningeal spread.
The spinal axis was screened, for leptomeningeal metastasis as requested, using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images through the cervical spine.
5 mm thick T1 Weighted and T2 Weighted sagittal images though the dorsal and lumbar spines.
5 mm thick Fast Scan (T2 *) axial images through the cervico-dorsal region.
There is slight loss of water content of the intervertebral discs in the spinal axis.
There is a postero-central protruded disc with peridiscal osteophytes at the L4-L5 level. Slight facetal and ligamentum flavum hypertrophy is noted at this level with a tight canal at that level.
Postero-central disc herniations with peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels. A small postero-central disc herniation with peridiscal osteophytes is seen at the C4-C5 level.
The visualized cervico-dorso-lumbar vertebral bodies reveal normal signal intensity.
The visualized cervico-dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the D12-L1 level and thecal sac terminates at the S1 level.
1. A small postero-central protruded disc with peridiscal osteophytes at the L4-L5 level with slight facetal and ligamentum flavum hypertrophy and a tight canal at that level.
2. Postero-central disc herniations with peridiscal osteophytes at the C5-C6 and C6-C7 levels.
3. A small postero-central disc herniation with peridiscal osteophytes at the C4-C5 level.
If leptomeningeal metastasis is to be definitely excluded, a contrast enhanced scan is indicated.