Date : 00.00.00
Name of the Patient : Abc Xyzi Talmn / F / 22 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 1 year.
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.
5 mm thick Fast Scan (T2 *) coronal images.
There is an ill-defined, hypointense area on the T1 Weighted images within the L3 vertebral body predominantly on the right side. Few hyperintense streaks are noted on the T1 Weighted images within this lesion. Lateral wedging of L3 is also identified on the right side. This lesion is seen to turn heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images. There is slight bulging of the posterior aspect of the L3 vertebra with indentation upon the thecal sac. The right pedicle is also involved. There is suspicion of a break in the posterior cortex (scans 103.4, 103.5, 102.4, 102.5, 105.3, 105.4, 206.10, 206.11).
Small posterior disc bulges are noted at the L4-L5 and L5-S1 levels.
A limbus vertebra is identified at the D12 level.
The rest of the lumbar vertebral bodies and the 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 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
15.0 mm at L2-L3
16.0 mm at L3-L4
13.0 mm at L4-L5
13.0 mm at L5-S1.
Altered signal in the L3 vertebral body and right pedicle as described is most probably due to a hemangioma.
The possibility of a neoplastic or an infective process is unlikely.