sb/bv/rg/nl

Name of the Patient : Abc XyzV. Gavalmn / M / 37 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache since 1 month with weakness of BLE since 5-6 days.
On AKT since 2-3 days.

EXAMINATION :

M.R.I of the dorsal spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

8 mm thick T1 Weighted and T2 Weighted axial images.

5 mm thick T1 Weighted coronal images.

OBSERVATION :

There is partial collapse of the D9 and D10 vertebral bodies. The D8 to D11 vertebral bodies appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. There is breach in the cortical endplates with involvement of the D9-D10 intervertebral disc which also appears hyperintense on the T2 Weighted images.

There is seen a fairly large, intermediate signal intensity mass lesion on the T1 Weighted images in the prevertebral and paravertebral regions over the D8 to D11 vertebral levels. Multiple septae are seen within this lesion. These lesions appear hyperintense on the T2 Weighted images and most likely represents a pre and paravertebral abscess. Extension into the anterior epidural space is noted at the D9 and D10 vertebral levels with resultant cord compression. The dorsal spinal cord at the D9 and D10 vertebral levels shows a subtle hyperintense signal on the T2 Weighted images which suggests cord edema/ischemia.
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Involvement of the costo-vertebral joints at the D9 and D10 vertebral levels is noted bilaterally .

Suspicious marrow signal alteration is noted in the S1 vertebral body.

The D12 vertebral body is slightly wedged, anteriorly without change in signal intensity. This may be the result of previous trauma.

A congenital block D2/D3 vertebra is noted.

The rest of the visualized dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.

The conus medullaris terminates at the L1 level.

Screening, T2 Weighted sagittal images of the cervical region do not reveal any significant feature of note.

IMPRESSION :

Partial collapse of the D9 and D10 vertebral bodies with altered signal over the D8 to D11 vertebral bodies and D9-10 intervertebral disc most likely represents osteitis with discitis probably tuberculous in etiology. Prevertebral, paravertebral and anterior epidural lesion would represent an abscess. There is cord compression at the D9 and D10 vertebral levels with cord signal alteration suggesting cord edema/ischemia.