Name of the Patient : Abc Xyzjkumarlmn / M / 7 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O angular kyphoscoliosis.
M.R.I of the dorsal spine was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted sagittal images.
4 mm thick T1 Weighted and T2 Weighted axial images.
The cervico-dorsal vertebral bodies upto the D1 vertebra and the dorso-lumbar vertebral bodies from D10 vertebral level downwards are well identified. All the intervening dorsal vertebral bodies and intervertebral discs from D2 to D9 levels are wedged/destroyed with a resultant significant kyphus in the dorsal region. The visualized dorsal spinal cord at the angle of the kyphus appears slightly stretched and small in calibre as compared to normal.
Subtle hyperintense signal on the T2 Weighted images is also noted in the dorsal spinal cord at this level.
It is difficult to characterize the signal change in the destroyed vertebral bodies in the dorsal region. No obvious pre and paravertebral soft tissue lesion is identified on this lesion.
The rest of the visualized cervico-dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level.
The MRI features suggest significant kyphotic deformity of the dorsal spine with collapse/destruction of the dorsal vertebral bodies and intervertebral discs over the D2 to D9 vertebral levels as described. The dorsal spinal cord is stretched over the kyphotic deformity, is slightly smaller in calibre and shows a subtle hyperintense signal at the level of the kyphus which may suggest gliotic changes. No compressive lesion is identified. The possible etiology of the kyphotic deformity may be tuberculosis rather than a congenitally cause.