Date : 00.00.00
Name of the Patient : Abc Xyz Lokhlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache since 15 days.
Patient jumped from a height 15 days back.
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.
There is wedging of the D9 and D11 vertebral bodies. The D9 vertebral body and the superior half of the D11 vertebral body show an ill-defined hypointense signal on the T1 Weighted images which appears heterogeneously hyperintense on the T2 Weighted images. Some of these areas are seen to remain hypointense on all the pulse sequences in the D9 vertebra anteriorly and would represent compressed trabeculae. The adjacent intervertebral discs are unremarkable, though there is a suspicious break of the superior cortical endplate of D11. Slight bulge of the posterior margin of the D9 body is noted, indenting the dural theca anteriorly.
The rest of the visualized dorso-lumbar vertebral bodies show spotty fatty marrow changes.
The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
- 2 - scan-00002
The visualized dorso-lumbar spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1 level.
Wedging of the D9 and D11 vertebral bodies with altered signal as described, represents compression fractures of the vertebral bodies with bone bruise/edema in the given clinical setting.