Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 62 yrs.
Referred by : Dr. Abc Xyzraf.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
H/O sudden onset of weakness of the RLE with fall and injury to the back with low back pain and pain in the RLE with bladder involvement since then.
H/O tuberculous spine for which ALD was done on 00.00.00 at D8, D9, D10 and D11 levels. On AKT since then.
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.
Metallic susceptibility artifacts due to Harrington Rod placement are observed.
There is evidence of internal fixation of the dorsal spine with metallic susceptibility artifacts at the D11 and D4 vertebral levels. There is evidence of antero-lateral decompression on the right side.
There is near complete collapse of the D8 vertebral body. The D7, D8 and D9 vertebral bodies appear hypointense on the T1 Weighted images and heterogeneously hyperintense on the T2 Weighted images. The D7-D8 and D8-D9 intervertebral discs are not well identified. Minimal right paravertebral and anterior epidural soft tissue lesion is noted at the D8 and D9 vertebral levels. There is mild thecal sac compression at these levels.
The dorsal spinal cord over the D7 to D9 vertebral levels shows a subtle hyperintense signal on the T2 Weighted images which may suggest cord edema/ischemia/gliosis. Probable atrophy of the cord is noted at the D8-D9 level.
The rest of the visualized dorsal vertebral bodies reveal normal signal intensity. The facet joints are unremarkable.
The conus medullaris terminates at the L2 level.
1. Post-operative status with susceptibility artifacts due to metallic implant.
2. Near complete collapse of the D8 vertebral body with altered signal of the D7, D8 and D9 vertebrae may suggest residual tuberculous osteitis in the given clinical setting. Minimal right paravertebral and anterior epidural soft tissue extension is noted.
3. Altered cord signal over the D7 to D9 vertebral levels may suggest cord edema/ischemia/gliosis.