sb/ke/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyzkumar Milmn / M / 16 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
Known C/O oligodendroglioma for which left temporal craniotomy with excision of tumor was done on 00.00.00.
C/O weakness of BLE with kyphosis since then.
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.
FEW IMAGES SHOW PATIENT MOTION.
OBSERVATION :
There is slight scoliosis of the lumbar spine with convexity to the left.
Small posterior disc bulges with posterior peridiscal osteophytes 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-L2 level and the thecal sac terminates at the S3 level.
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The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
18.0 mm at L2-L3
17.0 mm at L3-L4
16.0 mm at L4-L5
15.0 mm at L5-S1.
IMPRESSION :
Small posterior disc bulges with posterior peridiscal osteophytes at the L4-L5 and L5-S1 levels.
If drop metastasis is to be definitely excluded, a contrast enhanced scan is indicated.