A Date : 00.00.00
Name of the Patient : Abc Xyzi Merclmn / F / 59 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache radiating to the RLE since 8-10 days.
M.R.I of the dorsal 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.
Areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images are seen to involve the D10 and D11 vertebral bodies and pedicles. The D10-D11 intervertebral disc is seen to be involved with erosion of the adjacent cortical endplates.
There is extension of this pathologic process into the anterior epidural space at the D10 and D11 vertebral levels with resultant cord compression. The cord over these levels shows a subtle hyperintense signal on the T2 Weighted images and which may represent cord edema/ischemia/myelitis. Also seen is extension into the pre and paravertebral soft tissues over these levels. There is also extension into the D10-D11 neural foramina bilaterally with encasement of the foraminal D10 nerve roots.
A small well-defined area of hyperintensity on all the pulse sequences is seen within the postero-superior aspect of the D9 vertebral body and this would represent a hemangioma. The rest of the visualized dorsal vertebral bodies show areas of fatty replacement of normal marrow suggestive of osteoporosis.
A Schmorls node is seen in the superior surface of the D9 vertebral body.
- 2 - Scan-00007A
The rest of the dorsal intervertebral discs show loss of water content.
The cervical spine was screened with 5 mm thick T1 Weighted sagittal images and does not show any diagnostic feature of note.
The MRI features are suggestive of a pathologic process involving the D10 and D11 vertebrae and the D10-D11 intervertebral disc with cord compression and cord edema/ischemia/myelitis as described. This most likely represents an infective process like tuberculosis.
The possibility of this being a neoplastic process is less likely.