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Date : 00.00.00

Name of the Patient : Abc Xyzo D. Kaslmn / M / 70 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

C/O radicular pain in the LUE and LLE with paresthesias since 1 month. Also C/O loss of weight and appetite.
H/O pulmonary kochs (detected 2 days back).

EXAMINATION :

M.R.I of the cervico-dorsal spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is replacement of normal marrow of the D1 vertebral body by hypointense areas on the T1 Weighted images. The left pedicle also appears to be involved by the pathology. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. There is slight anterior and left lateral epidural extension with encroachment into the D1-D2 neural foramen on the left side. Mild left paravertebral soft tissue lesion is noted.

Bilateral pleural effusions are seen, left more than right .

There is slight forward subluxation of the D2 over the D3 vertebrae. Posterior disc bulges are seen at the D2-D3 and D3-D4 levels.

The cervico-dorsal intervertebral discs show loss of water content.

Diffuse fatty changes are noted in the rest of the visualized dorsal vertebral bodies.

A hemangioma with fatty content is seen in the D5 vertebral body.
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The visualized cervico-dorsal spinal cord reveals normal signal intensity.

IMPRESSION :

The MRI features are suggestive of altered signal of the D1 vertebral body with involvement of the left pedicle and extensions as described is most probably due to a granulomatous infective process like tuberculosis.

The possibility of a neoplastic process like a small cell tumor or metastasis cannot be ruled out.

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