ke/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzen lmn / F / 68 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

Known C/O depressive psychosis and Parkinsons and was on Rx.
C/O stiffness of joints, difficulty in passing urine and tremors in BUE with decreased sensation in the left leg.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is CSF signal intensity extra-axial lesion at the D12-L1 level extending through the right neural foramen and would represnt a meningeal cyst.

There is anterior wedging of the L2 vertebral body.

Posterior disc bulges with peridiscal osteophytes are seen to indent the thecal sac at the L1-L2 and L2-L3 levels. An anterior disc herniation with peridiscal osteophytes is seen at the L1-L2 level.

The visualized dorso-lumbar intervertebral discs show loss of water content.

The visualized dorso-lumbar vertebral bodies show fatty changes suggestive of osteoporosis.
Scan-00007


The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The dorsal spinal cord at the D7 and D8 vertebral levels shows a hyperintense signal on the T2 Weighted images. This is isointense to normal cord on the T1 Weighted images.

The conus medullaris terminates at the D12-L1 level.

The lumbo-sacral spine was screened with 4 mm thick T1 Weighted sagittal images and 5 mm thick T1 Weighted axial images and which shows anterior wedging of the L2 vertebral body. The visualized lumbar vertebral bodies show fatty changes.

IMPRESSION :

The MRI features are suggestive of :

1. Fatty changes of the dorso-lumbar vertebral bodies suggestive of osteoporosis with anterior wedging of the L2 vertebral body.

2. A meningeal cyst at the D12-L1 level extending through the right neural foramen.

3. Suspicious signal alteration within the cord at the D7 and D8 vertebral levels (? myelitis, ? demyelination, ? ischemia).