ke/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzt Mlmn / M / 12 yrs.
Referred by : Dr. Abc XyzGawhale.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE with tingling since 15 days.
C/O bladder involvement since 4 days.

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 thick T1 Weighted coronal images.

IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.

OBSERVATION :

There is replacement of the normal marrow by hypointense areas on the T1 Weighted images of the L4 vertebral body. This is seen to be isointense to normal marrow on the T2 Weighted images.

An intermediate signal intensity lesion on the T1 Weighted images is seen within the spinal canal, probably extradural in location over the L3 to S1 levels predominantly posteriorly and laterally. This is seen to turn mildly hyperintense on the T2 Weighted images.

The remaining lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.



The conus medullaris terminates at the L1-L2 level.

IMPRESSION :

Altered signal of the L4 vertebral body and a soft tissue lesion within the spinal canal, probably extradural in location over the L3 to S1 levels predominantly posteriorly and laterally is not specific for a single etiology. The possibilities to be considered are :

1. Infective processes like tuberculosis.

2. Neoplasia like round cell tumors.