Date : 00.00.0000
Name of the Patient : Abc Xyznka Shrlmn / F / 3 yrs.
Referred by : Dr. Abc Xyzrikh.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O progressive deformity of the spine since 1 year.
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 C1 to D3 and the D10 to the S4 vertebrae and the intervening intervertebral discs are well-identified.
There is a kyphus in the mid-dorsal region. The D7, D8 and D9 vertebral bodies are significantly wedged/nearly completely eroded and appear as a single vertebral block. The intervening intervertebral discs are not well-identified. The D4, D5 and D6 vertebral bodies appear relatively hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. The D4 to D9 vertebral bodies are probably fused.
There is an intermediate signal intensity mass lesion on the T1 Weighted images in the right paravertebral region over the extent of the above described fused vertebrae. This lesion appears heterogeneously hyperintense on the T2 Weighted images. Minimal soft tissue is noted in the left paravertebral region and in the anterior epidural space at the apex of the kyphus with resultant cord compression. The dorsal spinal cord at the apex of the kyphus shows a subtle hyperintense signal on the T2 Weighted images which represents cord edema/ischemia/gliosis. The dorsal spinal cord distal to the apex of the kyphus appears slightly smaller in calibre as compared to normal.
The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity.
The conus medullaris terminates at the L2 level.
Fused vertebral segments over the D4 to D9 vertebral levels with a kyphus at that level most likely is the sequelae of previous osteitis, probably tuberculous osteitis. A right paravertebral mass lesion in that region probably represents an organized abscess. There is cord compression at the apex of the kyphus with subtle cord signal alteration suggesting cord edema/ischemia/gliosis.
The possibility of this lesion representing a neoplasm is less likely.