Name of the Patient : Abc Xyza Sonalmn / F / 60 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O weakness of the LUE and LLE since 3-4 months with gait imbalance.
M.R.I of the cervico-dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
There is loss of normal cervical lordosis and loss of water content of the cervical intervertebral discs.
Small posterior disc bulges with peridiscal osteophytes are noted at the C2-C3, C3-C4, C4-C5 and C5-C6 levels.
A left paracentral disc herniation with peridiscal osteophytes is noted at the C6-C7, indenting the cervical spinal cord at that level. The cord appears to be atrophic on the left side at the C6-C7 and C7 levels.
A small, postero-central protruded disc is noted at the D1-D2 level.
The D2 vertebral body appears hyperintense, more in its left half, on the T2 Weighted images, as compared to the rest of the visualized cervico-dorsal vertebrae. It however appears iso to slightly hypointense as compared to the rest of the vertebrae on the T1 Weighted images.
The rest of the cervico-dorsal vertebral bodies show spotty fatty marrow changes. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Screening, T2 Weighted sagittal images of the lower dorsal spine do not reveal any significant feature of note.
Incidentally noted is an enlarged thyroid gland.
1. Small posterior disc bulges with peridiscal osteophytes at the C2-C3, C3-C4, C4-C5 and C5-C6 levels.
2. A left paracentral disc herniation with peridiscal osteophytes at the C6-C7 level.
3. Atrophy of the cord on the left at the C6-C7 and C7 levels.
4. A small, postero-central protruded disc at the D1-D2 level.
5. Altered signal in the D2 vertebral body is not specific for a single etiology. This most likely represents a vertebral body hemangioma.
The possibility of an infective or a neoplastic lesion seems less likely.
As compared to the previous MRI dated 00.00.00, there is no significant change in the morphology of the D2 vertebra.