ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzA. Hlmn / F / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O backache and pain in the left upper dorsal region since 5 months.
H/O fever since 2 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.

OBSERVATION :

There is partial sacralization of the L5 vertebral body on the left side and the L2 vertebral body is as marked on the film.

A small posterior disc bulge is seen at the L4-L5 level with anterior indentation of the thecal sac.

The L4-L5 facet joints show degenerative changes.

The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S1 level.
Scan-00005



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

13.0 mm at L1-L2
12.0 mm at L2-L3
12.0 mm at L3-L4
8.0 mm at L4-L5
9.0 mm at L5-S1.

IMPRESSION :

The MRI features are suggestive of :

1. Partial sacralization of the L5 vertebral body on the left side and the L2 vertebral body is as marked on the film.

2. A small posterior disc bulge at the L4-L5 level with facetal arthropathy.























sb/ke/nl/nl

Date : 00.00.00

Name of the Patient : Abc XyzA. Hlmn / F / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Screening of the Cervico-dorsal spine.



Screening MRI of the cervico-dorsal spine was performed using 4 mm thick T1 Weighted sagittal images and 6 mm thick T1 Weighted coronal images. Altered signal of the D5, D6 and D7 vertebral bodies is noted with a prevertebral, left paravertebral and anterior epidural soft tissue lesions at these levels.

The above described features most likely suggest tuberculous osteitis with a prevertebral and left paravertebral abscess/granulation tissue and anterior epidural granulation tissue at the D6 vertebral level.

The possibility of a neoplasm seems less likely.