sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzk Plmn / M / 6 1/2 yrs.
Referred by : Dr. Abc Xyzgla.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O recurrent discharging lesion in the low back. L1 laminectomy with L2 to L4 laminoplasty with excision of intradural epidermoid done on 00.00.00.
For follow-up.

EXAMINATION :

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.

OBSERVATION :

There is evidence of operative intervention in the soft tissues in the posterior lumbar region.

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 lower dorsal spinal cord shows normal signal intensity. The intrathecal nerve roots show normal distribution. No obvious mass lesion is identified in the visualized spinal canal.









The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.

A nodular, soft tissue lesion is noted on the surface of the skin in the posterior lumbar region at the lumbo-sacral junction.

IMPRESSION :

Post-operative status.

As compared to the previous MRI dated 00.00.00, the previously identified intradural mass lesion in the lumbar region is not identified on the present study.