sb/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Shalmn / M / 14 yrs.
Referred by : Dr. Abc Xyzwhale.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache since 3 months.

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.

5 mm Fast Scan (T2 *) coronal images.

OBSERVATION :

There is seen an expansile mass lesion involving the left postero-lateral margin of the L5 vertebral body, and the left pedicle and transverse process of L5. This lesion is of intermediate signal on the T1 Weighted images and appears hyperintense on the T2 Weighted images. The lesion is well marginated without obvious cortical erosion. No obvious soft tissue extension of the lesion is identified.

The rest of the visualized 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.

IMPRESSION :

An expansile mass lesion involving the left postero-lateral margin of the L5 vertebral body, the left pedicle and transverse process of L5 as described is not specific for a single etiology. A giant cell tumor or an aneurysmal bone cyst may be considered as likely possibilities.

A tuberculous etiology or a round cell tumor seems less likely.