Date : 00.00.00
Name of the Patient : Abc Xyz M. lmn / M / 46 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O pain in the upper back with radiation to the chest since 1 month.
H/O low grade fever with generalized weakness since 3 months.
M.R.I of the cervico-dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
There is seen an ill-defined, hypointense signal on the T1 Weighted images involving the D1, D2 and D3 vertebral bodies and pedicles. This lesion shows a subtle hyperintense signal on the T2 Weigthed images. The adjacent intervertebral discs are unremarkable.
There is seen an intermediate signal intensity, soft tissue mass lesion on the T1 Weighted images in the prevertebral and right paravertebral region extending over the C7 to D3 vertebral levels. Slight extension is also seen into the left paravertebral soft tissues. This lesion appears hyperintense on the T2 Weighted images. Involvement of the right costo-vertebral joint at the D1 and D2 vertebral levels is noted. Extension of the soft tissue lesion into the right neural foramen at the D1-D2 and D2-D3 levels is noted.
The rest of the visualized cervico-dorsal vertebral bodies and intervertebral discs reveal normal signal intensity.
The visualized cervico-dorsal spinal cord reveals normal signal intensity. There is no cord compression.
Screening T1 Weighted sagittal images of the dorsal spine do not reveal any significant feature of note.
Altered signal in the D1, D2 and D3 vertebrae, most likely represents osteitis, probably tuberculous osteitis. Prevertebral and right paravertebral soft tissue lesion over the C7 to D3 vertebral levels represents an abscess/granulation tissue.
The possibility of this lesion representing a neoplasm like a small cell tumor seems less likely.