/00006 Date : 27/00.00.00
Name of the Patient : Abc Xyz Nallmn / F / 41 yrs.
Referred by : Dr. Abc Xyz. Kapadia.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O numbness in BLE (right more than left) with difficulty in walking since 6 months.
Now C/O progressive weakness of BLE.
M.R.I of the dorso-lumbar 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 reduction in height of the D10-D11, D11-D12 and D12-L1 intervertebral discs and loss of water content of the visualized dorso-lumbar intervertebral discs.
There is a postero-central disc herniation with posterior peridiscal osteophytes at the D10-D11 level, more to the right of the midline, with cord compression. The dorsal spinal cord at this level shows a hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia.
Small, postero-central protruded discs with peridiscal osteophytes are also noted at the D9-D10, D11-D12 and D12-L1 levels. Slight facetal hypertrophy is noted at the D9-D10 and D10-D11 levels.
The D11 and D12 vertebral bodies are slightly wedged anteriorly, without change in signal intensity.
The visualized dorso-lumbar vertebral bodies reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level.
Screening, T2 Weighted sagittal images of the upper dorsal spine do not reveal any significant feature of note.
A small postero-central protruded disc is also noted at the L4-L5 level.
After administration of contrast, there is no area of abnormal enhancement within the spinal canal or along the meninges.
1. A postero-central disc herniation with posterior peridiscal osteophytes at the D10-D11 level, more to the right of the midline, with cord compression and cord signal alteration at this level suggesting cord edema/ischemia.
2. Small, postero-central protruded disc with peridiscal osteophytes at the D9-D10, D11-D12 and D12-L1 levels.
3. Slight facetal hypertrophy at the D9-D10 and D10-D11 levels.