Date : 00.00.00
Name of the Patient : Abc Xyzed Nalmn / M / 24 yrs.
Referred by : Dr. Abc Xyzed Hashim
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
Alleged H/O fall 2 years back with inability to walk since then.
M.R.I of the dorso-lumbar 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 anterior and left lateral wedging of the L1 vertebral body with a resultant kyphus at this level. A few areas of fatty replacement are noted in this vertebral body. Also seen are linear hypointensities on all the pulse sequences within this vertebral body and would represent compressed trabeculae. There is a break of the superior cortical endplate of this vertebra. There are also fractures of the laminae of the L1 vertebra.
There is an area which is iso to hypointense on all the pulse sequences within the cord at the D12-L1 and L1 levels and this would represent cystic changes.
A hypointense area is seen within the D12-L1 intervertebral disc on all the pulse sequences suggestive of calcium/vacuum phenomenon.
Posterior disc bulges with peridiscal osteophytes are seen to indent the thecal sac at the D12-L1 and L1-L2 levels. These intervertebral discs show loss of water content. Anterior disc bulge with anterior peridiscal osteophytes is noted at the D12-L1 level.
The rest of the visualized dorso-lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L2 level.
In a known C/O trauma, the MRI features are suggestive of :
1. Compression fracture of the L1 vertebral body.
2. Areas of altered signal within the cord at the D12-L1 and L1 levels would represent myelomalacia.