sb/ke/nl/rg.
Name of the Patient : Abc Xyz Talmn / M / 77 yrs.
Referred by : Dr. Abc Xyzsari.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
Alleged H/O fall 8 days back.
C/O weakness of the BLE (left more than right) since then.
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 near complete collapse of the D12 vertebral body with slight retroplacement of a fractured fragment. There is resultant compression of the dorsal spinal cord at the D12 vertebral level. The dorsal cord at D12 level shows a hyperintense signal on the T2 Weighted images (isointense to the normal cord on the T1 Weighted images) which suggests cord contusion/edema/gliotic changes. The D12 vertebral body appears hypointense, centrally on the T1 Weighted images and hyperintense on the T2 Weighted images.
There is central and anterior wedging of the L2 vertebral body. A fractured fragment is noted along the postero-superior margin of the L2 vertebral body with minimal indentation on the dural theca anteriorly. Herniation of the L1-L2 intervertebral disc into the body of L2 is noted.
Slight central wedging of the L4 vertebral body is also noted.
Facetal hypertrophy is noted in the dorso-lumbar region.
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The rest of the visualized dorso-lumbar vertebral bodies show spotty fatty marrow changes suggesting osteoporosis. The visualized dorso-lumbar intervertebral discs show slight loss of water content. The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L2 level.
Screening T1 Weighted sagittal images of the upper dorsal spine, reveal spotty fatty marrow changes in the upper dorsal vertebral bodies. The visualized dorsal spinal cord appears slightly smaller in calibre when compared to normal.
IMPRESSION :
Wedging of D12 and L2 vertebral bodies most likely represent wedged fracture superimposed on an osteoporotic spine. There is mild cord compression and altered signal of the dorsal spinal cord at the D12 vertebral level which suggests cord contusion/edema/gliotic changes.