Date : 00.00.00
Name of the Patient : Abc XyzGhelmn / M / 69 yrs.
Referred by : Dr. Abc Xyzr Archik.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache radiating to the LLE since 4-5 days.
M.R.I of the lumbo-sacral 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. PATIENT REFUSED SEDATION.
There is central and anterior wedging of the D12 vertebral body. Hypointense signal on all pulse sequences in the body of the D12 vertebra may represent compressed trabeculae. The rest of the visualized D12 vertebral body shows a hyperintense signal on the T2 Weighted images which may suggest bone bruise/edema. Minimal retropulsion of D12 body is noted, indenting the thecal sac at that level. There is a paravertebral intermediate signal intensity lesion on the T1 Weighted images which appears hyperintense on the T2 Weighted images and may represent a soft tissue hematoma. The D11-D12 and D12-L1 intervertebral discs show a subtle hyperintense signal on the T2 Weighted images.
Slight anterior wedging of the L1 vertebral body is also noted without change in signal intensity.
There is loss of water content of the lumbar intervertebral discs.
The lumbar and rest of the visualized dorsal vertebral bodies show spotty fatty marrow changes suggesting osteoporosis.
Small posterior disc bulges are noted at the L4-L5 and L5-S1 levels. Slight facetal hypertrophy is noted in the lumbar region.
Bilateral postero-lateral disc herniations are seen at the L3-L4 level.
The lower spinal cord shows normal signal intensity.
The conus medullaris terminates at the L1-L2 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
18.0 mm at L1-L2
16.0 mm at L2-L3
17.0 mm at L3-L4
17.0 mm at L4-L5
15.0 mm at L5-S1.
Screening, T1 Weighted sagittal images of the dorsal spine do not reveal any significant feature of note.
Central and anterior wedging of the D12 vertebral body with altered signal most likely is the sequelae of previous trauma. There is no significant cord compression or cord signal alteration.
Slight anterior wedging of L1 vertebral body without any change in signal is also noted. The rest of the visualized lumbar and dorsal vertebral bodies show spotty fatty marrow changes suggesting osteoporotic changes.
The possibility of a pathologic fracture superimposed upon an osteoporotic spine seems less likely.