sb/hs/rg.
s Date : 00.00.00

Name of the Patient : Abc Xyzndas Milmn / M / 58 yrs.
Referred by : Dr. Abc Xyzla.
Examination : M.R.I. of the Spine.

CLINICAL PROFILE :

H/O being operated for multicentric intracranial malignant ependymoma on 00.00.00.
No complaints at present.
To see leptomeningeal spread.

EXAMINATION :

The spinal axis was screened, for leptomeningeal metastasis as requested, using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images through the cervical spine.

5 mm thick T1 Weighted and T2 Weighted sagittal images though the dorsal and lumbar spines.

5 mm thick Fast Scan (T2 *) axial images through the cervico-dorsal region.

OBSERVATION :

There is slight loss of water content of the intervertebral discs in the spinal axis.

There is a postero-central protruded disc with peridiscal osteophytes at the L4-L5 level. Slight facetal and ligamentum flavum hypertrophy is noted at this level with a tight canal at that level.

Postero-central disc herniations with peridiscal osteophytes are noted at the C5-C6 and C6-C7 levels. A small postero-central disc herniation with peridiscal osteophytes is seen at the C4-C5 level.


The visualized cervico-dorso-lumbar vertebral bodies reveal normal signal intensity.

The visualized cervico-dorsal spinal cord reveals normal signal intensity. There is no cord compression.

The conus medullaris terminates at the D12-L1 level and thecal sac terminates at the S1 level.

IMPRESSION :

1. A small postero-central protruded disc with peridiscal osteophytes at the L4-L5 level with slight facetal and ligamentum flavum hypertrophy and a tight canal at that level.

2. Postero-central disc herniations with peridiscal osteophytes at the C5-C6 and C6-C7 levels.

3. A small postero-central disc herniation with peridiscal osteophytes at the C4-C5 level.

If leptomeningeal metastasis is to be definitely excluded, a contrast enhanced scan is indicated.