Date : 00.00.00
Name of the Patient : Abc Xyzbee Sayyed lmn / F / 55 yrs.
Referred by : Dr. Abc Xyzzare.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O weakness of BLE with incontinence of urine since 10-12 days.
C/O neckpain since 1 month.
M.R.I of the cervico-dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
There is partial collapse of the D1 vertebral body which is slightly retropulsed. The C7 and D1 vertebral bodies appear hypointense on the T1 Weighted images and heterogeneously hyperintense on the T2 Weighted images. Break in the superior and inferior cortical endplates of D1 is noted with a hyperintense signal on the T2 Weighted images in the C7-D1 intervertebral disc.
There is seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the prevertebral and paravertebral region extending over the C6 to D2 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. There is extension of the soft tissue lesion into the anterior and right lateral epidural space over the C7 to D2 vertebral levels and into the neural foramina at the C6-C7, C7-D1 and D1-D2 levels. There is resultant cord compression and cord signal alteration over these levels (hyperintense on the T2 Weighted images) suggesting cord edema/ischemia/myelitis.
Erosion of the both the pedicles of C7 and D1 vertebrae and the right transverse process of D1 and both transverse processes of the C7 vertebra is noted.
The rest of the visualized cervico-dorsal vertebral bodies reveal normal signal intensity. The remaining cervico-dorsal intervertebral discs show loss of water content.
Screening, T1 Weighted sagittal images of the mid and lower dorsal spine do not reveal any significant feature of note.
Partial collapse of the D1 vertebral body with altered signal of the C7 and D1 vertebrae and the C7-D1 intervertebral disc most likely represents osteitis with discitis, probably tuberculous in etiology. Prevertebral, paravertebral and epidural soft tissue lesion may represent granulation tissue/abscess. There is resultant cord compression and cord signal alteration suggesting cord edema/ischemia/myelitis.
The possibility of the above described lesion representing a neoplasm is less likely.