Date : 00.00.00
Name of the Patient : Abc XyzJajlmn / F / 25 yrs.
Referred by : Dr. Abc Xyzsrani.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache since October 0000.
H/O low grade fever, with loss of weight and appetite since 3 months.
M.R.I of the dorso-lumbar 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.
The D12 and right half of the L1 vertebral bodies show an ill-defined, hypointense signal on the T1 Weighted images which appears hyperintense on the T2 Weighted images. The right pedicle of L1 and the right pedicle, transverse process, both laminae and spinous process of the D12 vertebra seem to be involved by the lesion. The D12-L1 intervertebral disc appears intact.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the right paravertebral region and in the right posterior spinal region, extending into the anterior and right lateral epidural space at the D12 and L1 levels. This lesion appears hyperintense on the T2 Weighted images. There is no cord compression. The visualized lower dorsal spinal cord shows normal signal intensity.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized prevertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1 level.
Altered signal of the D12 and L1 vertebral bodies with involvement of their posterior elements, most likely represents osteitis, probably tuberculous osteitis. Right paravertebral, posterior paraspinal and epidural soft tissue lesion as described may represent granulation tissue/abscess.
The possibility of a neoplasm is less likely.