sb/hs/nl/nl

Name of the Patient : Abc Xyzrilal Purlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to the RLE.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is anterior wedging of the L1 vertebral body. The L1 vertebral body adjacent to the D12-L1 intervertebral disc appears relatively hypointense on all the pulse sequences. The D12-L1 intervertebral disc shows loss of water content.

There is reduction in height of the D10-D11 intervertebral disc. The D10 and D11 vertebral bodies adjacent to the D10-D11 intervertebral disc appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. Slight irregularity of the cortical endplates adjacent to the D10-D11 disc is noted with probable involvement of the disc.

Similar but subtle signal change is noted in the postero-superior quadrant of the D9 vertebral body and the postero-inferior quadrant of the D7 vertebral body.

Slight facetal hypertrophy is noted at the D10-D11 and D11-D12 levels bilaterally.

A hemangioma with fat content (hyperintense on all the pulse sequences) is noted in the D12 vertebral body.




The rest of the visualized dorso-lumbar vertebral bodies show spotty fatty marrow changes. The remaining intervertebral discs reveal normal signal intensity. The rest of 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.

IMPRESSION :

1. Anterior wedging of the L1 vertebral body with altered signal is most likely the sequelae of previous trauma.

2. Altered signal of the D10 and D11 vertebral bodies adjacent to the D10-11 intervertebral disc with reduction of height of the D10-D11 disc may either be the sequelae of previous trauma or may be due to osteitis (? discitis).

3. Spotty fatty marrow changes in the rest of the visualized dorso-lumbar region may represent osteoporotic changes.

4. Slight facetal hypertrophy at the D10-D11 and D11-D12 levels bilaterally.