Date : 00.00.00
Name of the Patient : Abc Xyzna Narvlmn / F / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache since 1 1/2 months.
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.
There is slight anterior wedging of the D11 vertebral body. The D11 and D12 vertebral bodies show an ill-defined, hypointense signal on the T1 Weighted images which appears hyperintense on the T2 Weighted images. Breach of the inferior cortical endplate of D11 vertebra is noted with involvement of the D11-D12 intervertebral disc. This disc appears hyperintense on the T2 Weighted images. The intranuclear cleft is not visualized.
There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the prevertebral and left paravertebral region at D11 and D12 vertebral levels. This lesion also appears hyperintense on the T2 Weighted images. There is no significant intraspinal extension or cord compression. The lower dorsal spinal cord show normal signal intensity.
The rest of the visualized dorso-lumbar vertebral bodies show spotty fatty marrow changes. The remaining intervertebral discs show loss of water content. The facet joints are unremarkable.
The conus medullaris terminates at the D12-L1 level.
Screening T1 Weighted images of the cervico-dorsal spine show spotty fatty marrow changes of the cervico-dorsal vertebrae.
Slight anterior wedging of the D11 vertebral body with altered signal of the D11 and D12 vertebral bodies and the D11-D12 intervertebral disc most likely represents osteitis with discitis probably tuberculous in etiology. Prevertebral and paravertebral soft tissue lesion would represent granulation tissue/abscess.
The possibility of this lesion representing a neoplasm seems less likely.