Date : 00.00.00
Name of the Patient : Abc Xyz H. Ghalmn / F / 55 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O backache since 2 months.
H/O pulomonary kochs 25 years ago. Received AKT.
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.
There is partial collapse of the D2, D3 and the D6 vertebral bodies. There is replacement of the normal marrow of the C7, D1, D2, D3, D4 and the D6 vertebral bodies by hypointense areas on the T1 Weighted images. The pedicles of these vertebral bodies are also involved by the pathology. These are seen to remain predominantly hypointense on the T2 Weighted images.
There is bulging of the posterior margins of the D2, D3 and D6 vertebral bodies with anterior epidural extension and indentation upon the spinal cord. The visualized cervico-dorsal spinal cord shows normal signal intensity. There is anterior bulging of the vertebrae in the pre and paravertebral soft tissues at the D6 vertebral level.
The visualized cervico-dorsal intervertebral discs show loss of water content.
A parenchymal lesion with fibrous stands are noted in the apical region of the right lung. Pleural thickening is noted in both hemithorax.
The rest of the visualized dorsal vertebral bodies reveal spotty fatty marrow changes. The facet joints are unremarkable.
The conus medullaris terminates at the L1 level.
The lumbar spine was screened with 4 mm thick T1 Weighted sagittal images which shows hypointense area in the L2 vertebral body and wedging of the L3 and L4 vertebral bodies. Fatty changes are noted in the lower dorsal and lumbar vertebral bodies.
The MRI features are suggestive of a pathologic process involving the C7, D1, D2, D3, D4, D6 and L2 vertebral bodies with extensions as described. This may represent a neoplastic process like metastasis or round cell tumor.
The possibility of this being an infective process like tuberculosis is less likely.