Date : 00.00.00
Name of the Patient : Abc Xyzbai Blmn / F / 65 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with weakness in BLE since March 0000. D8 to D10 decompressive laminectomy with drainage of paravertebral abscess done 20 days back.
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 evidence of laminectomy over the D7 to D11 levels with post-operative changes in the soft tissues in the posterior dorsal region over these levels.
There is an ill-defined, hypointense signal on the T1 Weighted images in the D8, D9 and D10 vertebral bodies, more to the left of the midline. This signal, however, appears isointense to slightly hyperintense on the T2 Weighted images. The D8-D9 intervertebral disc is slightly more hyperintense on the T2 Weighted images.
The dorsal spinal cord over the D6 to D11 vertebral levels appears hypointense to normal cord on the T1 Weighted images and is hyperintense on the T2 Weighted images. Its margins are slightly irregular.
The rest of the visualized dorsal vertebral bodies and the remaining intervertebral discs are unremarkable. The visualized pre and paravertebral soft tissues are unremarkable.
There is no extrinsic cord compression.
The conus medullaris terminates at the L1 level.
Screening, T1 Weighted sagittal images of the lumbo-sacral spine reveals Grade I spondylolisthesis of the L5 over the S1 vertebra with probable spondylolysis of L5.
1. Post-operative status.
2. Altered signal of the D8, D9 and D10 vertebral bodies and D8-D9 intervertebral disc may be the sequelae of previous osteitis and discitis.
3. Altered signal in the dorsal spinal cord over the D6 to D11 vertebral levels may represent cord edema/ischemia/? myelomalacic changes or syrinx.
The previous scans were not available for comparison.