Date : 00.00.00
Name of the Patient : Abc Xyzh M. Balmn / M / 22 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O paraplegia since 3-4 days.
H/O fall prior to this.
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.
There is anterior wedging of the D12 vertebral body with break in the anterior and posterior cortex. Hypointense signal is seen adjacent to the superior cortical endplate on all the pulse sequences which would represent compressed trabeculae. The rest of the D2 vertebral body shows subtle hyperintense signal on the T2 Weighted images which is iso to hypointense to normal marrow on the T1 Weighted images and would represent bone edema/bruise in the given clinical setting.
There is slight posterior bulge of the posterior superior aspect of the D12 vertebra with indentation upon the spinal cord at that level. The dorsal spinal cord shows a hyperintense signal on the T2 Weighted (isointense to normal cord on the T1 Weighted images) extending over the D9 level superiorly upto the L1 level inferiorly suggestive of cord edema/contusion.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level.
1. Anterior wedging of the D12 vertebral body with break in the anterior and posterior cortex with altered signal suggestive of compression fracture with bone edema/bruise, in the given clinical setting.
2. Cord signal alteration extending over the D9 level superiorly and the L1 level inferiorly suggestive of cord contusion with cord edema.