hs/sb/nl/rg.
Name of the Patient : Abc Xyzli V. Shlmn / F / 23 yrs.
Referred by : Dr. Abc Xyzwhale
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
Alleged H/O fall on 00.00.0000 with paraparesis.
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 collapse with anterior wedging of the D12 vertebral body. This vertebral body is hypointense on the T1 Weighted images and shows mixed signal characteristics on the T2 Weighted images. There is a break of the superior cortical end-plate of D12 and the right lamina of D12.
The D12 vertebral body is seen to bulge posteriorly with resultant indentation upon the cord. The cord over the D11-D12 to D12-L1 levels shows a hyperintense signal on the T2 Weighted images and this may represent cord edema/contusion.
Hypointense areas on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen within the pre and paravertebral soft tissues and anterior epidural space. This would represent soft tissue edema/blood.
The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
The conus medullaris terminates at the L1 level.
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IMPRESSION :
In a known C/O trauma, the MRI features are suggestive of a compression fracture of the D12 vertebra with cord edema/contusion over the D11-D12 to D12-L1 levels.