Date : 00.00.00
Name of the Patient : Abc Xyzr Ganlmn / M / 47 yrs.
Referred by : Dr. Abc Xyzarya / Dr. Abc Xyzvi /
Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O weakness of BLE apparently following a fall on 00.00.00.
M.R.I of the dorso-lumbar spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
There is a decrease in the height of the D11 vertebral body with presence of a fracture line and a break in the superior and inferior cortical endplates. There is retropulsion of this vertebral body with severe cord compression.
The D11 vertebral body shows areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images and would represent bone edema/bruise. Similar areas are also seen in the D9 and D12 vertebral bodies.
The spinal cord/conus medullaris over the D9 to L1 levels shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/contusions. The cord/conus medullaris at the D12 and L1 levels is swollen (? pulpy).
There appears to be a fracture of the laminae of the D12 vertebra.
Hypointense areas on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images are seen within the pre and paravertebral soft tissues over the D11 to L1 levels and may represent a hematoma.
The D8-D9 intervertebral disc shows loss of water content.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs are unremarkable.
In a known C/O trauma, the MRI features are suggestive of a compression fracture of the D11 vertebra with retropulsion and cord compression and cord edema/contusions as described.