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Name of the Patient : Abc Xyz Mlmn / F / 72 yrs.
Referred by : Dr. Abc Xyztchha.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O pain in the dorsal region radiating forward to the ribs.

EXAMINATION :

M.R.I of the dorsal spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

The cervical and lumbar spines were screened with 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is anterior and central wedging of the D6 and D7 vertebral bodies. The endplates of these vertebral bodies show a hypointense signal on all the pulse sequences suggesting sclerosis. A posterior peridiscal osteophyte is noted at the D6-D7 level.

The D3 and D4 vertebral bodies also appear slightly wedged, anteriorly.

A hemangioma with fat content is noted at the D8 vertebral body.

The rest of the visualized dorsal vertebral bodies show spotty fatty marrow changes suggesting osteoporotic changes. 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 L1-L2 level.

Screening images of the lumbar spine reveal a degenerated L5-S1 disc with small postero-central disc protrusions at the L1-L2, L3-L4 and L5-S1 levels.

Screening images of the cervical spine do not reveal any significant feature of note.

Scars/infiltrates are noted in the posterior segment of the visualized right upper lobe, which needs to be further evaluated.

IMPRESSION :

Wedging of the D3, D4, D6 and D7 vertebrae most likely is the sequelae of previous trauma superimposed on an osteoporotic spine. Sclerotic changes are noted adjacent to the D6-D7 intervertebral disc. A posterior peridiscal osteophyte is also noted at the D6-D7 level.

Infiltrates/scars in the right upper lobe needs to be further evaluated.
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