Date : 00.00.00
Name of the Patient : Abc Xyza M.U. lmn / F / 17 yrs.
Referred by : Dr. Abc Xyz. Sidhwa.
Examination : M.R.I. of the Abdomen.
CLINICAL PROFILE :
C/O pain in the costo-phrenic region since October 0000.
M.R.I of the lower chest and abdomen was performed using the following parameters:
8 mm thick T1 Weighted and T2 Weighted axial images.
6 mm thick T1 Weighted coronal images.
5 mm thick STIR coronal images.
The liver is normal in size, shape and position. There is no focal or diffuse area of altered signal intensity. There is no intrahepatic biliary radicle dilation. The intrahepatic venous architexture is normal.
The gall bladder is normal and reveals no intrinsic abnormality.
The pancreas is normal in size and shape.
The spleen and both adrenals are normal.
Both the kidneys are normal in size and shape.
No lymphadenopathy is detected. There is no evidence of free fluid within the abdomen.
No significant abnormality is detected in the costo-phrenic and cardio-phrenic angles on either side, on this study.
There is seen an ill-defined, hypointense signal on the T1 Weighted images in the D10 and D11 vertebral bodies which appears hyperintense on the T2 Weighted images. The D10-D11 disc is also involved. Paravertebral and anterior epidural soft tissue lesion is noted at this level with mild cord compression.
No significant abnormality is detected in the abdominal viscerae on this study.
Altered signal in the D10 and D11 vertebral bodies and the D10-D11 intervertebral disc most likely represents osteitis with discitis, most likely tuberculous in etiology. Paravertebral and anterior epidural soft tissue may represent granulation tissue/abscess. There is resultant cord compression. The possibility of this lesion representing a neoplasm seems less likely.
A dedicated study of the dorso-lumbar spine is indicated to evaluate this region and cord signal alteration, if any.