Date : 00.00.00
Name of the Patient : Abc Xyzalmn / M / 35 yrs.
Referred by : Dr. Abc Xyzrankar.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
Alleged H/O fall at 8.00 pm on 00.00.00 with paraplegia and bladder involvement.
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 anterior wedging of the L1 vertebral body with slight retropulsion of the L1 body and a resultant kyphus at that level. The L1 vertebral body and the superior half of the L3 vertebral body appear hypointense on the T1 Weighted images and heterogeneously hyperintense on the T2 Weighted images. There is compression of the thecal sac at the L1 vertebral body by the retropulsed vertebral body with clumping of the intrathecal nerve roots at that level. Fracture of the left lamina and pedicles bilaterally, of L1 is noted. The superior cortical endplate of L1 also appears broken. Minimal prevertebral and paravertebral soft tissue lesion is noted at the L1 vertebral level which may represent soft tissue injury. There is also rupture of the anterior and posterior longitudinal ligaments.
A small postero-central disc herniation is noted at the L4-L5 level.
The rest of the lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The visualized lower dorsal spinal cord shows normal signal intensity.
The conus medullaris terminates at the D12 level.
Anterior wedging of the L1 vertebral body with retropulsion and change in the signal intensity of the L1 and L3 vertebral bodies as described most likely is the sequelae of previous trauma. There is resultant thecal sac compression at the L1 vertebral level.