hs/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 2 years.

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 a diffuse area of hypointensity on the T1 Weighted and T2 Weighted images within the D12 vertebral body (more so postero-superiorly). These may represent sclerotic changes. The D11-D12 intervertebral disc is decreased in height and is probably hypointense on all the pulse sequences and may be calcified. (Please correlate with plain radiographs).

Mild posterior disc bulges are noted at the L4-L5 and L5-S1 levels.

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 S1 level.
scan-00008



The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

18.0 mm at L1-L2
20.0 mm at L2-L3
12.0 mm at L3-L4
15.0 mm at L4-L5
15.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of altered signal intensity within the D12 vertebral body as described and this may represent sclerosis.

Correlation with plain films would be worthwhile.