Displaying items by tag: bony/fibrous
Sunday, 27 December 2015 16:48
12092
sb/ke
Date : 00.00.00
Name of the Patient : Abc Xyz Shilmn / F / 17 days.
Referred by : Dr. Abc XyzMehta.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O swelling over the low back since birth with defect in BLE (right more than left).
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The L5 vertebral body is as marked on the film.
There is probable fusion and segmentation anomalies of the D9 to L1 vertebral bodies.
There is seen a fairly large, intermediate signal intensity lesion on the T1 Weighted images traversing the spinal canal, antero-posteriorly over the D10 to L1 vertebral levels. This lesion follows marrow signal intensity on all pulse sequences and represents a bony bar. The spinal cord is seen to split into the two hemi-cords over about the D7 to L5 vertebral levels. Separate thecal sac are noted at the levels corresponding to the bony bar. The left hemi-cord is slightly smaller than the right. Another, probable bony/fibrous band is noted at the L4-L5 level (scans 106.4, 107.4 & 107.5). The spinal cords probably unite distally at about the S1 vertebral level.
The thecal sac seems to extend upto the sacro-coccygeal junction and is open towards the skin surface at that level.
..2/.
A small, intradural lipoma is noted at the tip of the thecal sac with the filum terminale, probably tethered to it (scans 102.4, 103.5, 103.6).
A syrinx is noted over the D4 to D6 vertebral levels.
The rest of the visualized dorso-lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
IMPRESSION :
The MRI features suggests a diastematomyelia with hemi-cords extending over the D7 to L5 vertebral levels. A bony bar is noted over about the D10 to L1 vertebral levels with a another bony/fibrous bar at the L4-L5 level. A syrinx is noted over the D4 to D6 vertebral levels. An intradural lipoma is noted at the sacro-coccygeal junction with filum terminale probably tethered to a lipoma. Segmentation anomalies and fusion of the D9 to L1 vertebral bodies is noted.
Date : 00.00.00
Name of the Patient : Abc Xyz Shilmn / F / 17 days.
Referred by : Dr. Abc XyzMehta.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O swelling over the low back since birth with defect in BLE (right more than left).
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
The L5 vertebral body is as marked on the film.
There is probable fusion and segmentation anomalies of the D9 to L1 vertebral bodies.
There is seen a fairly large, intermediate signal intensity lesion on the T1 Weighted images traversing the spinal canal, antero-posteriorly over the D10 to L1 vertebral levels. This lesion follows marrow signal intensity on all pulse sequences and represents a bony bar. The spinal cord is seen to split into the two hemi-cords over about the D7 to L5 vertebral levels. Separate thecal sac are noted at the levels corresponding to the bony bar. The left hemi-cord is slightly smaller than the right. Another, probable bony/fibrous band is noted at the L4-L5 level (scans 106.4, 107.4 & 107.5). The spinal cords probably unite distally at about the S1 vertebral level.
The thecal sac seems to extend upto the sacro-coccygeal junction and is open towards the skin surface at that level.
..2/.
A small, intradural lipoma is noted at the tip of the thecal sac with the filum terminale, probably tethered to it (scans 102.4, 103.5, 103.6).
A syrinx is noted over the D4 to D6 vertebral levels.
The rest of the visualized dorso-lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
IMPRESSION :
The MRI features suggests a diastematomyelia with hemi-cords extending over the D7 to L5 vertebral levels. A bony bar is noted over about the D10 to L1 vertebral levels with a another bony/fibrous bar at the L4-L5 level. A syrinx is noted over the D4 to D6 vertebral levels. An intradural lipoma is noted at the sacro-coccygeal junction with filum terminale probably tethered to a lipoma. Segmentation anomalies and fusion of the D9 to L1 vertebral bodies is noted.
Published in
MRI Reports