s Date : 00.00.00
Name of the Patient : Abc Xyzlaxmi Palmn / F / 30 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyzrikh.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache with weakness of BLE and weight loss since 3 months.
H/O fall 4-5 months ago.
M.R.I of the dorso-lumbar 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 near complete collapse of the D10 vertebral body with slight anterior wedging of the D9 vertebral body.
There is replacement of the normal marrow of the D9, D10 and the superior portion of the D11 vertebral bodies by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. There is pre and paravertebral soft tissue extension over the D9 to D11 vertebral levels. Anterior epidural extension is also noted over these levels with slight compression of the spinal cord. The spinal cord over these levels shows a hyperintense signal on the T2 Weighted images. This is isointense to the normal cord on the T1 Weighted images and would represent cord edema/ischemia.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
Subtle altered signal intensity is noted within the L3 and the D1 vertebral bodies.
The conus medullaris terminates at the L1 level.
The MRI features are suggestive of :
1. Collapse of the D10 vertebral body.
2. Altered signal in the D9, D10, D11 and the L3 vertebral bodies with extensions as described is most probably due to granulomatous infective process like tuberculosis. The possibility of a neoplasm seems less likely.
3. Altered signal in the cord over the D9 to D11 vertebral levels suggests cord edema/ischemia.