sb/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzai Yalmn / M / 70 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O radicular pain in BLE (left more than right) 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.

OBSERVATION :

There is sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film.

There is loss of water content of the L2-L3, L3-L4 and L4-L5 intervertebral discs.

Small posterior disc bulges are noted at the L3-L4 and L4-L5 levels.

Small postero-central protruded discs with peridiscal osteophytes are noted at the D10-D11 and D11-D12 levels.

There is seen an approximately 9.0 mm diameter sized, circular, well-defined, intradural mass lesion at the L2 vertebral level. This lesion is of intermediate signal on the T1 Weighted images and appears hyperintense on the T2 Weighted images. There is resultant splaying of the intrathecal nerve roots at that level.

Facetal hypertrophy is noted in the dorso-lumbar and lumbar region.
..2/.






The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. 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.

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
15.0 mm at L3-L4
14.0 mm at L4-L5
7.0 mm at L5-S1.

IMPRESSION :

1. An approximately 9.0 mm diameter sized intradural mass lesion at the L2 vertebral level most likely represents a nerve sheath tumor.

2. Sacralization of the L5 vertebra and the L2 vertebral body is as marked on the film.

3. Facetal hypertrophy in the dorso-lumbar and lumbar region.

4. Small postero-central protruded discs with peridiscal osteophytes at the D10-D11 and D11-D12 levels.