sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzjadevi Slmn / F / 70 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE with progressive weakness of BLE (left more than right) since 1 year.

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.

3 mm thick T1 Weighted coronal images.

OBSERVATION :

There is seen a well-marginated, approximately 1.2 x 0.7 x 2.7 cms sized intradural extramedullary mass lesion in the spinal canal at the D10 and D11 vertebral levels. This lesion is of intermediate signal on the T1 Weighted images and appears hypointense (with few hyperintense areas within it) on the T2 Weighted images. The lesion is anterior to the dorsal spinal cord at that level with resultant cord compression. The dorsal spinal cord at these levels shows a hyperintense signal on the T2 Weighted images, suggesting cord edema/ischemia.

Slight ligamentum flavum hypertrophy is noted at the D9, D10 and D11-D12 levels.

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

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The visualized dorso-lumbar vertebral bodies reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L1 level.

T1 Weighted sagittal images of the lumbar spine reveal Grade I spondylolisthesis of the L5 over the S1 vertebra and small postero-central protruded discs in the lumbar region.

IMPRESSION :

A well-marginated, approximately 1.2 x 0.7 x 2.7 cms sized intradural extramedullary mass lesion in the spinal canal, anterior to the spinal cord at the D10 and D11 vertebral levels as described is not specific for a single etiology. This most likely represents a meningioma. A nerve sheath tumor may be considered as a differential diagnosis though less likely. The possibility of an infective etiology is also less likely.

There is resultant cord compression and cord signal alteration
suggesting cord edema/ischemia at these levels.