ke/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc XyzMuthuslmn / M / 37 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
Alleged H/O fall from a height with injury to head and spine for which patient was operated.
Now C/O diplopia, giddiness, headaches and weakness from waist downwards.
EXAMINATION :
M.R.I of the dorsal 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.
OBSERVATION :
There is collapse of the D5 vertebral body with an angular kyphus at that level.
Hypointense areas on the T1 Weighted images which are seen to bloom with susceptibility artifacts are seen in the D4 and D6 vertebral bodies is due to surgical intervention and titanium
graft.
The dorsal spinal cord from the D3-D4 to the D6-D7 levels is not well-visualized. There is near complete transection of the spinal cord with presence of a few strands over the D4 to D6 levels. Hyperintense signal is seen within the spinal canal over these levels.
The rest of the visualized dorsal 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 L1 level.
..2/.
- 2 - Scan-00003
IMPRESSION :
1. Post-operative status.
2. Collapse of the D5 vertebral body with an angular kyphus at that level.
3. Near complete transection of the spinal cord.