Name of the Patient : Abc Xyza R. lmn / F / 60 yrs.
Referred by : Dr. Abc XyzMavinkurve.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
H/O fall on 00.00.0000 with backache since then.
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.
5 mm thick T1 Weighted coronal images.
There is anterior wedging of the D12 vertebral body which shows replacement of the normal marrow by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. There is a break in the anterior and inferior cortex with circumferential bulging of the D12 vertebra with hyperintense signal in the D12-L1 intervertebral disc on the T2 Weighted images.
The lower dorsal and upper lumbar vertebral bodies show fatty changes. The rest of the intervertebral discs show loss of water content.
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 L1 level.
The cervico-dorsal spine was screened with 4 mm thick T1 Weighted sagittal images which shows fatty changes.
The MRI features are suggestive of wedging and altered signal of the D12 vertebra with break in the anterior and inferior cortex would represent bone bruise/edema, the result of previous trauma superimposed on an osteoporotic spine
The possibility of this being a pathological fracture seems less likely.