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Name of the Patient : Abc XyzMuttlmn / F / 23 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache.

EXAMINATION :

M.R.I of the dorso-lumbar 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.

OBSERVATION :

There is sacralization of the L5 vertebra.

There is slight wedging of the D11 vertebral body. The D10 and D11 vertebral bodies appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. Slight irregularity of the cortical endplates adjacent to the D10-D11 intervertebral disc is noted with involvement of the D10-D11 disc. Minimal anterior epidural soft tissue lesion is noted at the D10 vertebral level, indenting the dural theca anteriorly. The D10-D11 facet joints appear slightly hypertrophied. Minimal extension of the soft tissue lesion into the right neural foramen at the D10-D11 level is noted.

The rest of the visualized dorso-lumbar vertebral bodies and remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.






The visualized lower dorsal spinal cord reveals normal signal intensity. There is no cord compression.

The conus medullaris terminates at the D12-L1 level.

IMPRESSION :

1. Sacralized L5 vertebra.

2. Altered signal of the D10 and D11 vertebral bodies and the D10-D11 intervertebral disc suggest osteitis with discitis, most likely tuberculous in etiology. Minimal soft tissue is noted in the anterior epidural space at the D10 vertebral level and in the right neural foramen at the D10-D11 level.

The possibility of this lesion representing a neoplasm seems less likely.

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