ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzam Thalmn / M / 13 yrs.
Referred by : Dr. Abc XyzSingh.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache since 2 days.
Alleged H/O fall 1 month back.
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.
OBSERVATION :
There is a posterior disc bulge at the D12-L1 level with a small peridiscal osteophyte.
A small hypointense area on the T1 Weighted images is seen in the postero-inferior aspect of the D12 vertebral body which is seen to turn heterogeneously hyperintense on the T2 Weighted images. No obvious break in the cortex is seen.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorso-lumbar spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S2 level.
IMPRESSION :
1. Posterior disc bulge at the D12-L1 level with a small peridiscal osteophyte.
2. Altered signal in the postero-inferior aspect of the D12 vertebral body is not specific for a single etiology. However this may represent edema/bone bruise in the given
H/O trauma.