ke/hs/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache since 7-8 months.
H/O laminectomy with spinal fusion was done on 00.00.00 for intraspinal neurofibroma at the D12 level.
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.
6 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is evidence of laminectomy of the D12 vertebra with post-operative changes within the posterior soft tissues over these levels.
The D12-L1 facet joints show degenerative changes.
The visualized dorso-lumbar intervertebral discs show loss of water content. The dorso-lumbar vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level.
- 2 - Scan-00002
IMPRESSION :
The MRI features are suggestive of :
1. Post-operative status.
2. Facetal arthropathy at the D12-L1 level.
There is no obvious residual lesion on the study. If clinically indicated a contrast enhanced scan would be worthwhile.
As compared to the previous MRI (study no.00001) dated 00.00.00, there is no significant change noted.