Date : 00.00.00
Name of the Patient : Abc Xyzda lmn / F / 29 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O tuberculous spine. Operated 12 years back in the cervico-dorsal region. No details.
C/O backache radiating to the RLE with paresthesias since 4 months. Lumbar peritoneal shunt was done for same on 00.00.00.
Now C/O pain in the RLE and tingling.
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
7 mm thick T1 Weighted and T2 Weighted axial images.
There is anterior wedging of the D8 vertebral body with a resultant kyphus. There is slight retroplacement of the D8 vertebral body with resultant cord compression. The cord at this level shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia/gliosis.
A small posterior disc herniation with peridiscal osteophytes is noted at the D7-D8 level with compression upon the cord.
A well-defined area which is near isointense to CSF is seen within the centre of the cord over the D4 to D7 levels and would represent a syrinx. Multiple septae are also seen. A smaller syrinx is seen over the D8 to D10 levels.
The visualized dorsal intervertebral discs show loss of water content. The D7 and D8 vertebral bodies show areas of fatty replacement of normal marrow.
The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 level.
The MRI features are suggestive of a compression fracture of the D8 vertebral body with a resultant kyphus and cord compression with cord edema/ischemia/gliosis as described. Also seen is a multi-septate syrinx over the D4 to D7 levels and a smaller syrinx over the D8 to D10 levels.