Date : 00.00.00
Name of the Patient : Abc XyzYasin Anlmn / M / 60 yrs.
Referred by : Dr. Abc Xyz Raval.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache since 4 months which has increased since 15 days.
M.R.I of the dorsal 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 slight collapse of the D8 vertebral body. The normal marrow of the D7 and D8 vertebral bodies is replaced by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The pedicles of these vertebrae are also involved by this pathology.
There is bulging of the vertebral bodies in the paravertebral soft tissues. Small anterior epidural extension is seen at the D8 vertebral level. There is destruction of the inferior cortical endplate of D7 and the superior cortical endplate of D8 with involvement of the D7-D8 intervertebral disc. The intranuclear cleft is not well visualized.
Subtle hyperintense signal is also noted in the D5 vertebral body on the left side on the T2 Weighted images.
The rest of the visualized dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized prevertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1 level.
The lumbar and cervical spines were screened with T1 Weighted sagittal images and which do not reveal any significant feature of note.
The MRI features are suggestive of altered signal of the D5, D7 and D8 vertebral bodies with involvement of their pedicles and intervening D7-D8 disc with extensions as described is not specific for a single etiology. The differential diagnosis may include,
1. Infective process like tuberculosis (most likely).
2. Neoplasia like small cell tumors (eg. myeloma) or metastasis (less likely).