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Date : 00.00.00

Name of the Patient : Abc Xyzarayan Slmn / M / 42 yrs.
Referred by : Dr. Abc Xyzilotri.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O road accident on 00.00.00 with loss of consciousness since then.
H/O convulsion, discharge of blood from the right ear (2 episodes), vomiting and weakness of the LUE and LLE.

EXAMINATION :

M.R.I of the dorsal 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.

IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is partial collapse of the D6 and D7 vertebral bodies with mild angular kyphus at that level.

There is replacement of the normal marrow of the D6 and D7 vertebral bodies by hypointense areas on the T1 Weighted images which are seen to turn heterogeneously hyperintense on the T2 Weighted images. There is bulging of these vertebral bodies in the pre and paravertebral soft tissues. Posterior bulging is also noted upon the spinal cord at the D5-D6 and D6-D7 levels. The spinal cord at the D6 level shows a hyperintense signal on the T2 Weighted images and is isointense to normal cord on the T1 Weighted images suggestive of cord edema/ischemia.

Subtle hyperintense signal on the T2 Weighted images is also noted in the D8 vertebral body in its superior aspect.

Anterior wedging of the D9 vertebral body is noted.

Ligamentum flavum hypertrophy is noted at the D7-D8 level.

The rest of the dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The remaining facet joints are unremarkable.
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The conus medullaris terminates at the L1 level.

The cervico-dorsal spine was screened with 5 mm thick T2 Weighted sagittal images and is unremarkable. 5 mm thick T1 Weighted sagittal images of the dorso-lumbar spine were also obtained which shows slight wedging of the L1 vertebral body without any altered signal intensity.

IMPRESSION :

Partial collapse of the D6 and D7 vertebrae with altered signal intensity is most probably due to previous trauma . Wedging of the D9 and D11 vertebral bodies is also noted. The possibility of this being an infective/neoplastic lesion is less likely.

Cord signal alteration at the D6 vertebral level suggests cord edema/ischemia



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