sb/ke/rg/nl

Name of the Patient : Abc Xyzissa Thlmn / F / 58 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache with radiating pain to BLE with paresthesias.

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 are wedged fractures of the D10 and L1 vertebral bodies. There is herniation of the adjacent intervertebral discs into the bodies of these vertebrae. The D10 vertebral body shows a hypointense signal on the T1 Weighted images. A fracture line is noted in the mid-body of the L1 vertebra.

Small posterior disc bulges with peridiscal osteophytes and indentation on the anterior dural theca is noted at the D10-D11 and D12-L1 disc levels.

The D12 vertebral body is slightly wedged, centrally and shows ill-defined hypointense signal on the T1 Weighted images which turns heterogeneously hyperintense on the T2 Weighted images, more so adjacent to its superior cortical endplate.

The visualized dorso-lumbar intervertebral discs show slight loss of water content.

The rest of the visualized dorso-lumbar vertebral bodies show spotty fatty marrow changes suggesting osteoporosis.
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The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The visualized lower dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the D12-L1 level.

Screening, T1 Weighted sagittal images of the cervico-dorsal and dorso-lumbar region reveal spotty fatty marrow changes in all the visualized vertebral bodies.

IMPRESSION :

1. Wedged fractures of the D10 and L1 vertebral bodies are most likely old osteoporotic fractures.

2. Slight central wedging of the D12 vertebral body with altered signal is probably a recent osteoporotic fracture.

3. Fatty marrow changes in the rest of the visualized vertebral bodies suggests osteoporotic changes.