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Name of the Patient : Abc XyzThalmn / M / 66 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

Alleged H/O fall 8 days ago followed by backache.

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 :

Some of the dorsal intervertebral discs show a hyperintense signal on all the pulse sequences which may suggests ossification/calcification of the disc.

There is anterior wedging of the D11 vertebral body.

The D10, D11 and postero-inferior segment of the D9 vertebral bodies appear hypointense on the T1 Weighted images and heterogeneously hyperintense on the T2 Weighted images. A probable fracture line is noted in the left half of the D10 vertebral body. Streaking of the prevertebral and paravertebral fat is noted over these levels.

Facetal hypertrophy is noted at the D9-D10, D10-D11, D11-D12 and D12-L1 levels bilaterally. Hypertrophic arthropathy of the costo-vertebral joints is noted at the D6-D7, D7-D8 and D10-D11 levels bilaterally, on the right at the D9-D10 level and on the left at the D8-D9 level.

An area of hyperintensity on all the pulse sequences is noted within the D12 vertebral body and this may represent a hemangioma with fat content.


The rest of the visualized dorsal vertebral bodies reveal normal signal intensity. The remaining 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.

The cervical spine was screened with 4 mm thick T1 Weighted and T2 Weighted sagittal images. Posterior disc herniations with posterior peridiscal osteophytes are noted at the C3-C4, C4-C5, C5-C6 and C6-C7 levels. Ligamentum flavum hypertrophy is also noted at these levels.

IMPRESSION :

1. Anterior wedging of the D11 vertebral body with altered signal of the D10, D11 and postero-inferior segment of the D9 vertebral bodies is not specific for a single etiology. These changes may be post-traumatic in etiology, in the given clinical setting. The possibility of this being infective or neoplastic in etiology cannot be excluded.

2. Facetal hypertrophy at the D9-D10, D11-D12 and D12-L1 levels bilaterally.

3. Hypertrophic arthropathy of the costo-vertebral joints at the D6-D7, D7-D8 and D10-D11 levels bilaterally, on the right at the D9-D10 level and on the left at the D8-D9 level.

4. Degenerative changes of the cervical spine as described.
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