/63 Date : 00.00.00
Name of the Patient : Abc Xyznlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzilotri.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O weakness of BLE since 6 days.
Alleged H/O fall from height.
M.R.I of the dorso-lumbar spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
8 mm thick T1 Weighted and T2 Weighted axial images.
There is anterior wedging of the D8 vertebral body with a mild angular kyphus at that level. There is posterior bulging of the vertebral body with indentation upon the spinal cord. The spinal cord over the D6 to D9-D10 levels shows a hyperintense signal on the T2 Weighted images. This is iso to hypointense to normal cord on the T1 Weighted images and would represent cord edema/contusion in the given clinical setting.
There is replacement of the normal marrow of the D6, D8 and D9 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images and would represent bone bruise/edema. There appears to be a fracture of the left lamina and spinous process of the D8 vertebra.
Large bilateral pleural collections are seen which is hyperintense on the T1 Weighted and T2 Weighted images and may represent altered blood, in the given clinical setting of trauma.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level.
In the given clinical setting of trauma, the MRI features are suggestive of :
1. Anterior wedging of the D8 vertebral body with mild angular kyphus at that level with cord signal alteration over the D6 to D9-D10 levels would represent cord edema/contusion.
2. Altered signal of the D6, D8 and D9 vertebral bodies would represent bone bruise/edema.
3. Large bilateral pleural collections (? haemorrhagic).
Radiologically, similar findings may be seen with infective or neoplastic processes.