Date : 00.00.00
Name of the Patient : Abc Xyznlu Mlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzgaonkar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache radiating to BLE (left more than right) with paresthesias since 1 1/2 months.
H/O left foot drop since 15 days.
M.R.I of the dorsao-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.
The cervical spine was screened with 4 mm thick T1 Weighted sagittal images.
There is a large postero-central disc herniation with peridiscal osteophytes more to the right of the midline and compressing the cord at the D11-D12 level. The cord at this level shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia.
A postero-central disc herniation with peridiscal osteophyte is seen to indent the cord at the D12-L1 level. There is a posterior disc bulge with peridiscal osteophytes at the L1-l2 level.
The D10-D11, D11-D12, D12-L1 and L1-L2 facet joints show degenerative changes.
A focal hyperintensity on all the pulse sequences is noted within the posterior aspect of the D10 vertebral body and this may represent a small hemangioma with high fat content.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level.
Screening images of the cervical spine reveal degenerative changes at the C3-C4, C4-C5 and C5-C6 levels.
The MRI features are suggestive of :
1. A large postero-central disc herniation with peridiscal osteophytes, more to the right of the mildine with cord compression and cord edema/ischemia at this level.
2. A postero-central disc herniation with peridiscal osteophytes at the D12-L1 level.
3. Facetal arthropathy at the D10-D11, D11-D12, D12-L1 and L1-L2 levels.
4. Canal stenosis at the D11-D12 level.