Date : 00.00.00
Name of the Patient : Abc XyzDclmn / F / 70 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache since 1 month with tingling in the RLE since 1 month.
H/O filariaris of the right leg since 7 years.
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.
There is slight wedging of the D8 and D9 vertebral bodies and pedicles which show hypointense areas replacing the normal marrow on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The superior and inferior cortical endplates of the D9 and D8 vertebral bodies, respectively, are breached with involvement of the D8-D9 intervertebral disc. There is slight pre and paravertebral soft tissue extension over these levels.
The rest of the visualized dorsal vertebral bodies show focal fatty changes suggestive of osteoporosis. The remaining visualized intervertebral discs show loss of water content. The facet joints are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1 level.
Screening, 4 mm thick T2 Weighted sagittal images of the cervico-dorsal spine do not reveal any diagnostic feature of note.
The right dome of the diaphragm is elevated.
The MRI features are suggestive of altered signal of the D8 and D9 vertebrae and the D8-D9 intervertebral disc with extensions as described and this would most likely represent an infective process like tuberculosis. The possibility of this being a neoplastic process though less likely cannot be entirely excluded.