Date : 00.00.00

Name of the Patient : Abc Xyza Almn / F / 41 yrs.
Referred by : Dr. Abc Xyzctor / Dr. Abc Xyzpadia.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 15-20 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.

4 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There is a small postero-central protruded disc at the L5-S1 level.

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 L2 level and the thecal sac terminates at the S2 level.

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

18.0 mm at L1-L2
14.0 mm at L2-L3
14.0 mm at L3-L4
14.0 mm at L4-L5
13.0 mm at L5-S1.
..2/.





R> There is seen an approximately 3.0 cms diameter sized well-defined, intermediate signal intensity mass lesion on the T1 Weighted images in the prevertebral region to the right of the midline at about the L3-L4 disc level. This lesion appears heterogeneously hyperintense on the T2 Weighted images. The lesion is placed between the aorta and the inferior vena cava. The inferior vena cava is compressed and displaced posteriorly.

IMPRESSION :

No significant abnormality is detected in the lumbo-sacral spine per se.

An approximately 3.0 cms diameter sized mass lesion in the prevertebral region to the right of the midline at about the L3-L4 disc level between the aorta and the IVC as described is not specific for a single etiology. This most likely represents a lymphnodal mass.