Name of the Patient : Abc Xyzhi Bhojglmn / M / 55 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O giddiness, backache and chest pain.
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.
4 mm thick T1 Weighted coronal images.
There is evidence of an ill-defined, hyperintense signal on the T2 Weighted images in the left sided lamina and inferior articular facet of the D6 vertebra. This lesion appears hypointense to normal marrow on the T1 Weighted images (scans 107.16, 106.16). There is no soft tissue extension or cortical erosion seen.
The rest of the visualized dorsal vertebral bodies and their appendages are unremarkable. Degenerative changes of the left sided costo-vertebral joint at the D9-D10 level is noted. The visualized dorsal intervertebral discs show slight loss of water content. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L2 level.
Screening, T1 Weighted sagittal images of the lumbar spine do not reveal any significant feature of note.
Altered signal of the left sided lamina and inferior articular facet of the D6 vertebra as described is not specific for a single etiology. The differential diagnosis would include :
1. Metastatic deposit.
2. Small cell tumors.
3. Infective lesions like tuberculosis.
A biopsy from the appropriate site may be worthwhile.