Name of the Patient : Abc Xyzali lmn / M / 20 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Cervico-dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the RUE.
M.R.I of the cervico-dorso-lumbar spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted coronal images.
15 mm thick T1 Weighted and T2 Weighted axial images.
There is evidence of a fairly large, intermediate signal intensity multi-loculated mass lesion on the T1 Weighted images in the posterior paraspinal soft tissues to the right of the midline, extending from the cervical region through the dorsal region upto the lumbar region upto about the level of iliac crest. This lesion appears hyperintense on the T2 Weighted images and is deep to the trapezius muscle. Laterally it extends upto the level of the medial margin of the scapula. Medially the lesion extends just to the left of the midline. The medial margin of the right scapula is displaced slightly postero-laterally by this lesion.
In the lumbar region the lesion is also seen to extend along the right psoas muscle and the right iliacus muscle, into the pelvis.
The visualized cervico-dorso-lumbar vertebral bodies show preponderance of hematopoeitic marrow (more hypointense than normal on the T1 Weighted images). The visualized intervertebral discs reveal normal signal intensity.
The visualized cervical and dorsal spinal cord shows normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1-L2 level.
Incidentally noted is mild hepatosplenomegaly.
A fairly large, multi-loculated mass lesion in the posterior paraspinal soft tissues to the right of the midline, extending from the cervical region through the dorsal region upto the lumbar region upto about the level of iliac crest and extending along the right psoas muscle and the right iliacus muscle as described most likely represents an abscess, probably tuberculous in etiology.
It is difficult to evaluate the site of origin of this abscess. There is no cord compression on this study.