Date : 00.00.00
Name of the Patient : Abc XyzAli Khalmn / M / 22 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
H/O accident 3 years back.
C/O weakness of BLE since then.
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 with collapse of the D5 vertebral body and mild anterior wedging of the D6 vertebral body. Angular kyphus is noted at this level. There appears to be old fractures of the left pedicles of D5 and D6 vertebrae and left transverse process of D5 vertebral body.
There are hyperintense areas within the D5 and D6 vertebral bodies on the T1 Weighted images which follow fat signal intensity characteristics and represents fatty deposition. The D5-D6 intervertebral disc appears reduced in height.
The spinal cord at the D5 and D6 vertebral levels shows a hypointense signal in the centre on the T1 Weighted images and turns hyperintense on the T2 Weighted images and represents an area of myelomalacia.
A small posterior disc herniation is seen at the C5-C6 level.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and which does not reveal any significant feature of note.
The MRI features are suggestive of :
1. Anterior wedging with collapse of the D5 vertebral body with altered signal within the D5 and D6 vertebral bodies
represents fatty deposition, the sequelae of previous trauma.
2. An area of myelomalacia in the spinal cord at the D5 and D6 vertebral levels.