ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzSonalmn / M / 36 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache and increased frequency in passing urine since 2-3 months.

EXAMINATION :

M.R.I of the dorso-lumbar 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 an intradural oval shaped mass lesion at the L2-L3 level which measures approximately 4.0 x 1.2 x 1.1 cms. This lesion is slightly hypointense to cord on the T1 Weighted images and turns heterogeneously hyperintense on the T2 Weighted images. The nerve roots are not well-identified over this level. The mass is only faintly visualized on the T1 Weighted images.

There is retrolisthesis of the L5 over the S1 vertebral body with a pseudoposterior disc herniation at the L5-S1 level. Small peridiscal osteophytes are also noted at this level. The L5-S1 intervertebral disc shows loss of water content.

The rest of the visualized dorso-lumbar vertebral bodies and the remaining 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 terminated at the S2 level.

The brain was screened with 5 mm thick T2 Weighted axial images and does not reveal any diagnostic feature of note.

IMPRESSION :

1. An intradural mass lesion at the L2-L3 level measuring approximately 4.0 x 1.2 x 1.1 cms. is not specific for a single etiology. The possibilities to be considered are :

a. Nerve sheath tumor.

b. Meningioma.

C. Ependymoma.

2. Retrolisthesis of the L5 over the S1 vertebral body with a pseudoposterior disc herniation and small peridiscal osteophytes at the L5-S1 level.

A contrast enhanced scan would be worthwhile.