Displaying items by tag: heterogeneously

Date : 00.00.00

Name of the Patient : Abc Xyzmmed Almn / M / 4 mnths.
Referred by : Dr. Abc Xyzlande / Dr. Abc Xyzooq.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O lumbar meningocele.

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.
3 mm thick T1 Weighted coronal images.

OBSERVATION :

There is evidence of an open spinal canal at the L3 and L4 vertebral levels.

There is tethering of the spinal cord with the conus seen to lie at the L5 level.

A hypointense tract is seen extending from the spinal canal to the surface of the skin at the L3-L4 level on the T1 Weighted images which is seen to turn heterogeneously hyperintense on the T2 Weighted images. This tract is seen to be in connection with a large lesion on the surface of the skin which measures approximately 6.5 x 6.1 cms. This lesion has a mixed signal intensity characteristics in the centre, with a peripheral hyperintense rim on the T1 Weighted images. This lesion is seen to turn heterogeneously hyperintense on the T2 Weighted images with the periphery remaining hypointense.

There is a suggestion of a small syrinx at the L2 and L3 levels. A cleft is seen anteriorly in the spinal cord anteriorly suggestive of a ventral myelochisis.

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

IMPRESSION :

1. Tethering of the spinal cord with the conus seen to lie at the L5 level.
2. Lipomyelomeningocele in the lumbar region as described.