Date : 00.00.00
Name of the Patient : Abc Xyzm Klmn / M / 62 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
H/O fall 5 years back with injury to the back.
C/O backache with radiating pain to the RLE (on and off) since then.
Now C/O pain in the RLE with paresthesias and weakness since 1 1/2 years.
M.R.I of the dorso-lumbar spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
9 mm thick T1 Weighted and T2 Weighted axial images.
There is forward placement of the L4 over the L5 vertebra with a posterior disc herniation at the L4-L5 level. Another small posterior disc herniation is seen at the L5-S1 level.
The lower dorsal intervertebral discs show loss of water content.
Hemangioma with focal fatty change is seen in the D8 vertebral body.
The rest of the dorso-lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level
A hypointense lesion on the T1 Weighted images is seen in the region of the S2 vertebral body and represents a large perineural cyst.
1. No significant abnormality is detected within the dorsal spine.
2. Forward translation of the L4 over the L5 vertebra with posterior disc herniations at the L4-L5 and L5-S1 levels.
3. Large perineural cyst at the S2 vertebral level.