Date : 00.00.00
Name of the Patient : Abc Xyzai Bedlmn / F / 72 yrs.
Referred by : Dr. Abc Xyzndu.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache since 1 month with inability to walk and sit since 15 days and retention of urine since 1 day.
M.R.I of the dorso-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 D10 and D11 vertebral bodies show an ill-defined, hypointense signal on the T1 Weighted images. On the T2 Weighted images, the inferior half of the D10 vertebral body and the D10-D11 intervertebral disc appears hyperintense while rest of the D10 and D11 vertebral bodies remain hypointense. There is minimal prevertebral, paravertebral and epidural soft tissue lesion at the D10 and D11 vertebral levels.
The dorsal spinal cord at the D10 and D11 vertebral levels shows a hyperintense signal on the T2 Weighted images which may suggests cord edema/ischemia.
There is slight anterior wedging of the D12 vertebral body without change in signal intensity.
The remaining visualized dorso-lumbar intervertebral discs show loss of water content.
The rest of the visualized dorso-lumbar vertebral bodies reveal normal signal intensity. The facet joints are unremarkable.
The conus medullaris terminates at the L1 level.
Altered signal in the D10 and D11 vertebral bodies and the D10-D11 intervertebral disc suggests osteitis with discitis probably tuberculous in etiology. Prevertebral, paravertebral and epidural soft tissue lesion may represent granulation tissue. Altered signal in the dorsal spinal cord at the D10 and D11 vertebral levels may represent cord edema/ischemia.
The possibility of the above described lesion representing a neoplasm seems less likely.