Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 35 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache in the dorsal region.
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.
The D5, D6 and D7 vertebral bodies show a hypointense signal on the T1 Weighted images which turns hyperintense on the T2 Weighted images. The D6-D7 intervertebral disc also seems to be involved with breach of the adjacent cortical endplates. There is a prevertebral and right paravertebral, intermediate signal intensity mass lesion on the T1 Weighted images over the D5 to D7 vertebral levels. This lesion appears hyperintense on the T2 Weighted images and represents an abscess. No obvious anterior epidural extension is noted.
The rest of the visualized dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints at the D7-D8 level on the left side and at the D8-D9 levels bilaterally appear slightly hypertrophied.
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 lumbar spine show evidence of slight facetal hypertrophy in the lower lumbar region.
There is evidence of enlarged carinal lymph nodes.
Incidentally noted are scars in the lung parenchyma on either side which need to be further evaluated.
Altered signal in the D5, D6 and D7 vertebral bodies and the D6-D7 intervertebral disc represent osteitis with discitis, probably tuberculous in etiology. Prevertebral and right paravertebral soft tissue lesion would represent granulation tissue/abscess.
The possibility of a neoplasm is less likely.