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Name of the Patient : Abc Xyz Fernalmn / M / 47 yrs.
Referred by : Dr. Abc Xyzauhan / Dr. Abc Xyzza.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

Known C/O adenocarcinoma of lung which was diagnosed 1 month back.
C/O backache with numbness in BLE and weakness of the LUE.

EXAMINATION :

M.R.I of the dorsal 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.

The lumbar and cervical spines were screened with 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is collapse of the D5 vertebral body which appears hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. The D4-D5 and D5-D6 intervertebral discs show normal disc height and signal intensity.

There is an intermediate signal intensity, soft tissue lesion in the anterior epidural space at the D5 vertebral level, which appears hyperintense on the T2 Weighted images. There is resultant cord compression and a subtle hyperintense signal in the dorsal cord at the D5 vertebral level which suggest cord edema/ischemia.




- 2 - Scan-00008


Slight central wedging of the D8 vertebral body and anterior wedging of the D1 vertebral body, with altered signal is noted, with mild bulge of the posterior margin of the D8 and D1 vertebral bodies, indenting the dural theca anteriorly. Soft tissue is noted in the right paravertebral region at D2 vertebral level, at the apex of the right lung.

The rest of the visualized dorsal vertebral bodies and 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.

Screening images of the cervical spine reveal mild degenerative changes in the lower cervical region.

Screening images of the lumbar spine reveal altered signal in the L4 and S1 vertebral bodies. Suspicious, enlarged lymph nodes are noted in the preaortic and right paraaortic regions (scans 102.5, 6).

IMPRESSION :

Altered signal and wedging of the D1, D5, D8, L4 and S1 vertebral bodies as described, most likely represents metastatic deposits, in a known C/O adenocarcinoma. There is cord compression at the D5 vertebral level with cord signal alteration suggesting cord edema/ischemia.

The possibility of an infective etiology is less likely.

No previous investigations were available for review.



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