Date : 00.00.00
Name of the Patient : Abc Xyz A. lmn / F / 55 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to BLE with numbness since September 0000.
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
SOME IMAGES SHOW PATIENT MOTION.
Areas of hypointensity on the T1 Weighted images which turn heterogeneously hyperintense on the T2 Weighted images are seen to involve the D7 and D8 vertebral bodies and the pedicles. The D7-D8 intervertebral disc is also involved with erosion of the adjacent cortical endplates.
There is circumferential bulging of these vertebrae with extension of this pathologic process into the anterior epidural space over the D7 and D8 vertebral levels with resultant cord compression. The cord over the D6 to D10 vertebral levels shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia/myelination.
Also seen is extension of the pathologic process into the pre and paravertebral soft tissues at the D7 and D8 vertebral levels.
A space occupying lesion which is hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images is seen adjacent to the caudate lobe of the liver (? enlarged lymph node).
- 2 - Scan-00002
A focus of hypointensity on the T1 Weighted coronal images is seen within the D10 vertebral body on the right side which represent the same pathologic process.
Facetal hypertrophy is seen at the D8-D9, D9-D10 and D10-D11 levels.
The remaining visualized dorsal intervertebral discs show loss of water content.
A posterior disc bulge is seen at the L4-L5 level.
The rest of the visualized dorsal vertebral bodies reveal normal signal intensity. The remaining facet joints are unremarkable.
The conus medullaris terminates at the L1-L2 level.
Note is made of a distended bladder.
The MRI features are suggestive of a pathologic process involving the D7 and D8 vertebral bodies and the D7-D8 intervertebral disc with cord compression and cord edema/ischemia/myelitis as described. This most likely represents an infective process like tuberculosis.
The possibility of this being a neoplastic process is less likely.