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Name of the Patient : Abc Xyzai Tinlmn / F / 65 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE with paresthesias.
H/O trauma, 5 years back.

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 anterior wedging with near complete collapse of the D10 vertebral body and an angular kyphus at that level. Hypointense signal is seen within this vertebral body on all the pulse sequences suggestive of sclerosis.

Anterior wedging of the D6, D7, D8, D9 and D11 vertebral bodies is seen with fatty changes and sclerotic changes. The facet joints in the lower dorsal region show degenerative changes. The D8 and D11 vertebrae show subtle hypointense signal on the T1 Weighted images and are seen to turn heterogeneously hyperintense on the T2 Weighted images.

Posterior disc bulges with peridiscal osteophytes are noted at the D10-D11 and D11-D12 levels.

The visualized intervertebral discs reveal loss of water content. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.



The conus medullaris terminates at the L1 level.

The lumbar spine was screned with 5 mm thick T1 Weighted sagittal images which shows Grade I spondylolisthesis of the L4 over the L5 vertebra with a large pseudoposterior disc herniation and bilateral neural foraminal narrowing, (left more than right) at that level. Facetal arthropathy is noted at this level.

IMPRESSION :

1. Anterior wedging with near complete collapse of the D10 vertebral body and an angular kyphus at that level.

2. Anterior wedging of the D6, D7, D8, D9 and D11 vertebral bodies with altered signal is the sequelae of previous trauma superimposed on an osteoporotic spine.

3. Grade I spondylolisthesis of the L4 over the L5 vertebra with a large pseudoposterior disc herniation and bilateral neural foraminal narrowing, left more than right) at the L4-L5 level. Facetal arthropathy is also noted.


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