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Date : 00.00.00

Name of the Patient : Abc XyzAli M.lmn / M / 65 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

Known C/O kochs spine.
H/O inability to walk 15 months ago which has improved.
For follow up.

EXAMINATION :

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.

OBSERVATION :

There is slight anterior wedging of the D11 and D12 vertebral bodies with mild angular kyphus at that level.

There is replacement of the normal marrow of the D11 and D12 vertebral bodies by hypointense areas on the T1 Weighted images which are seen to turn heterogenously hyperintense on the T2 Weighted images. The pedicles of these vertebrae are also involved by the pathology. There is breach of the superior and inferior cortical endplates of the D12 and D11 vertebral bodies with involvement of the D11-D12 intervertebral disc which appears hyperintense on the T2 Weighted images suggestive of its involvement. There is pre and paravertebral soft tissue extension over the D10-D11 to the D12-L1 levels. Anterior epidural extension is also seen at the D11-D12 levels.

The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.

Large anterior peridiscal osteophytes are seen to the right of the midline in the mid and lower dorsal regions.
..2/.




- 2 - scan-00009


The visualized dorso-lumbar spinal cord reveals slight increase in the signal intensity suggestive of cord edema/ischemia.

The conus medullaris terminates at the D12 level.

IMPRESSION :

In a known C/O Kochs spine the MRI features are suggestive of altered signal of the D11 and D12 vertebral bodies and involvement of the D11-D12 intervertebral discs with extensions as described.

As compared to the previous MRI dated 00.00.00, there is reduction in the soft tissue component of the above described lesion.
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