Date : 00.00.00
Name of the Patient : Abc Xyzi Shlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with paresthesias in the RUE since 8 months which has increased since 2 months.
M.R.I of the 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 anterior wedging of the D4 vertebral body with a resultant kyphus. The D4 and D5 vertebral bodies are decreased in height.
Areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen to involve the D4 and D5 vertebral bodies and pedicles. There is slight extension into the anterior epidural space with mild compression upon the spinal cord. Minimal extension into the pre and paravertebral soft tissues is noted at these levels.
The D4-D5 intervertebral disc is involved by this pathologic process.
The rest of the visualized cervico-dorsal intervertebral discs show loss of water content.
The rest of the visualized dorsal vertebral bodies show normal signal intensity.
The visualized dorsal spinal cord reveals normal signal intensity.
The dorso-lumbar and lumbo-sacral spines were screened with 5 mm thick T1 Weighted sagittal images. Small posterior disc herniations are noted at the L4-L5 and L5-S1 levels. Small posterior peridiscal osteophytes are noted at the L5-S1 level.
The MRI features are suggestive of osteitis and discitis involving the D4 and D5 vertebrae and the D4-D5 intervertebral disc respectively. This most likely represents an infective process like tuberculosis.
The possibility of this being a neoplastic process like a small cell tumor is less likely.