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Name of the Patient : Abc XyzHlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzar.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

H/O fall from a tree 1 year back with paresthesias in BLE with bladder/bowel involvement.

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 :

The D11 vertebral body is as marked on the film.

There is central and anterior wedging of the D12 vertebral body which shows fatty marrow changes. The D12-L1 intervertebral disc shows loss of water content and is reduced in height. Herniation of the D11-D12 and D12-L1 intervertebral discs into the body of the D12 is noted. A fracture line is noted in the D12 vertebral body centrally, running antero-posteriorly. There is indentation on the anterior dural theca by the postero-superior margin of the D12 vertebral body. A posterior peridiscal osteophyte is noted at the D11-D12 level. An anterior peridiscal osteophyte is seen arising from the D12 vertebra.

The lower dorsal spinal cord at the D11-D12 level shows a hypointense signal on the T1 Weighted images which turns hyperintense on the T2 Weighted images.







The rest of the visualized dorso-lumbar vertebral bodies show preponderance of hematopoeitic marrow. The remaining 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.

IMPRESSION :

1. Central and anterior wedging of the D12 vertebral body with fatty marrow changes suggests an old, healed fracture of the D12 vertebral body. A posterior peridiscal osteophyte is noted at the D11-D12 intervertebral disc indenting the dural theca anteriorly.

2. Altered signal in the lower dorsal spinal cord at the D11-D12 level suggest myelomalacic changes, the sequelae of previous cord contusion due to trauma.

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