ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz R. Kollmn / F / 15 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O weakness of BLE since 6 months.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

7 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is an exaggerated lumbar lordosis. The distal sacral and coccygeal vertebrae are not well-identified and may be hypoplastic (kindly correlate with plain radiographs).

The cord is low lying and its tip is seen to lie at the L3-L4 level.

Hyperintense signal is seen within the spinal canal which is intradural in location over the L5 to S1 levels on all the pulse sequences (following fat signal characteristics) and would represent a filum terminale lipoma (1 mm width).

The visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.






The dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and does not reveal any diagnostic feature of note.

IMPRESSION :

1. Low lying spinal cord with its tip lying at the L3-L4 level.

2. A filum terminale lipoma (1 mm width) within the spinal canal over the L5 to S1 levels.

3. The distal sacral and coccygeal vertebrae are not well-visualized and may be hypoplastic (to correlate with plain radiographs).