Date : 00.00.00
Name of the Patient : Abc Xyzlmn / F / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache since 3-4 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 an ill-defined, hyperintense signal on the T2 Weighted images in the D10, D11 and D12 vertebral bodies. This lesion appears hypointense to normal marrow on the T1 Weighted images. The intervening intervertebral discs are unremarkable.
There is a minimal intermediate signal intensity soft tissue lesion on the T1 Weighted images in the prevertebral and paravertebral regions over the D10 to D12 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. Similar signal intensity lesion is noted in the psoas muscles, bilaterally, at the L1 and L2 vertebral levels.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1 level.
Screening, T1 Weighted sagittal images of the cervical and lumbar spines do not reveal any significant feature of note.
Altered signal of the D10, D11 and D12 vertebral bodies most likely represent osteitis, probably tuberculous osteitis. Prevertebral and paravertebral soft tissue lesion and soft tissue lesion in the visualized psoas muscles as described, would represent granulation tissue/abscess.
The possibility of this representing neoplasm seems less likely.