Name of the Patient : Abc Xyzbegum lmn / F / 55 yrs.
Referred by : Dr. Abc Xyzonawalla.
Examination : M.R.I. of the Dorso-lumbar Spine.
CLINICAL PROFILE :
C/O backache since 2 weeks.
Alleged H/O fall on 00.00.0000.
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.
There is slight central wedging of the D10 vertebral body with replacement of the normal marrow of the body and pedicles by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. Linear hypointense area along the superior cortical endplate on all the pulse sequences would represent compressed trabeculae. There is circumferential bulging of the D10 vertebral body.
There is anterior wedging of the L2 vertebra with Schmorls node seen on the superior surface of L2.
The visualized dorsal and lumbar vertebral bodies reveal spotty fatty changes suggestive of osteoporosis.
The visualized dorso-lumbar intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized lower dorsal spinal cord reveals normal signal intensity.
The conus medullaris terminates at the L1 level.
- 2 - Scan-00009
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images which shows fatty marrow changes in the lumbar vertebrae and central wedging of the L2 vertebral body.
In a known C/O trauma, the MRI features are suggestive of
bone bruise/edema with compression fracture of the D10 vertebral body with central wedging superimposed upon an osteoporotic spine.