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A Date : 00.00.0000

Name of the Patient : Abc Xyzinkumar Milmn / M / 11 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Sacrum.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE since 1 month.
H/O swelling over the low back since birth.

EXAMINATION :

M.R.I of the sacrum was performed using the following parameters:

4 mm thick T1 Weighted and T2 Weighted (with fat saturation) sagittal images.

5 mm thick T1 Weighted and STIR coronal images.

5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

Vitamin E capsules were placed as markers at the site of suspected lesion.

OBSERVATION :

There is an ill-defined, hypointense signal on the T1 Weighted images in the subcutaneous fat in the dorsal surface of the low back, in the region of the sacro-coccygeal junction. This signal remains predominantly hypointense on the T2 Weighted images. The lesion is seen to reach upto the sacro-coccygeal vertebrae. There is no definite extension into the spinal canal. The thecal sac terminates at the S2 vertebral level.






- 2 - Scan-00002A



There is no focal area of altered signal in the visualized sacro-coccygeal vertebrae. The visualized sacro-iliac joints are unremarkable.

IMPRESSION :

Altered signal in the subcutaneous fat in the dorsal surface of the low back, in the region of the sacro-coccygeal junction as described may represent a fibrous/sinus tract, or an inflammatory granuloma. There is no evidence of tethering of the spinal cord, or an intradural lipoma.

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