Name of the Patient : Abc Xyzilal S. lmn / M / 78 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache since 1 month with weakness of BLE since 2 days.
Alleged H/O fall 1 month ago.
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
SOME IMAGES SHOW PATIENT MOTION.
There is collapse of the D10 vertebral body and central wedging of the D11 vertebral body.
The D10 and D11 vertebral bodies appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. The D9-D10 and D10-D11 intervertebral discs show slight loss of water content. Slight retropulsion of the D10 vertebral body is noted in relation to the D11 vertebral body with resultant cord compression. Facetal and ligamentum flavum hypertrophy is also noted at the D9-D10 and D10-D11 levels with a tight canal. The thecal sac at the D10 and D11 levels is slightly ill-defined.
The dorsal spinal cord at the D10 vertebral level shows a subtle hyperintense signal on the T2 Weighted images, centrally which suggests cord contusion/edema in the given clinical setting.
The rest of the visualized dorsal vertebrae show spotty fatty marrow changes which suggests osteoporosis. The remaining dorsal intervertebral discs show slight loss of water content.
The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1-L2 level.
Screening T1 Weighted sagittal images of the lumbar spine reveal spotty fatty marrow changes in the lumbar vertebrae and hypertrophic facetal arthropathy at the L4-L5 level.
Collapse and central wedging with altered signal of the D10 and D11 vertebral bodies, respectively, is most likely due to previous trauma superimposed on an osteoporotic spine (The possibility of these being fracture superimposed upon a pathologic process cannot be entirely excluded). Resultant mild cord compression is noted by the retropulsed D10 vertebral body. Altered cord signal at the D10 level suggests cord contusion/edema, in the given clinical setting.
Facetal and ligamentum flavum hypertrophy with a tight canal is noted at the D9-D10 and D10-D11 levels.