Name of the Patient : Abc Xyzevi M. lmn / F / 33 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
Known C/O Kochs spine. Detected in August 0000.
Completed AKT on 00.00.0000.
C/O backache radiating to the RUE since 2-3 months.
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 lumbar spine was screened with 5 mm thick T1 Weighted sagittal images and the cervico-dorsal spine was screened with 4 mm thick T2 Weighted sagittal images.
The D10 vertebral body shows a heterogeneous signal with fatty marrow changes which may be the sequelae of the previous osteitis involving this vertebral body. There is no obvious bone erosion/destruction or soft tissue mass lesion identified. The costo-vertebral and costo-transverse joints on the left at D10, are unremarkable.
The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1 level.
Screening images of the lumbo-sacral spine reveal a sacralized L5 vertebra with the L1 vertebral body as marked on the film. Focal fatty marrow changes in the L5 vertebral body, to some extent involving the L5-S1 disc is ? the sequelae of previous focal osteitis or ?? a hemangioma with fat content (more likely the former).
Screening images of the cervico-dorsal spine do not reveal any significant feature of note.
Fatty marrow changes in the D10 vertebral body is the sequelae of previous osteitis and suggests a healing process.
As compared to the previous MRI dated 00.00.0000 (study no.0000), the previously identified soft tissue lesion is not identified on the present study. No new lesion is noted.