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.
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.
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.
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.
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.