Name of the Patient : Abc Xyz lmn / M / 54 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O pain in the mid-dorsal region.

EXAMINATION :

M.R.I of the dorsal 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 :

The D5 and D8 vertebrae appear to be as marked on the film.

There is reduction in height and loss of water content of the dorsal intervertebral discs.

The D6 and D7 vertebral bodies adjacent to the D6-D7 intervertebral disc shows an ill-defined hypointense signal on the T1 Weighted images which appears hyperintense on the T2 Weighted images. The D6-D7 intervertebral disc, however, does not show a hyperintense signal on the T2 Weighted images (it is dessicated).

Postero-central disc herniations with peridiscal osteophytes are noted at the D6-D7, D7-D8 and D8-D9 levels. A postero-central disc protrusion is seen at the D5-D6 level.

A right postero-lateral disc herniation with peridiscal osteophytes is noted at the D9-D10 level.

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Slight facetal hypertrophy is noted in the mid and lower dorsal regions.

The visualized dorsal vertebral bodies show spotty fatty marrow changes.

The visualized pre and paravertebral soft tissues are unremarkable.

The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L1 level.

Screening, T1 Weighted sagittal images of the cervico-dorsal region do not reveal any significant feature of note, other than hypointense areas in the C5 and C6 vertebral bodies adjacent to the C5-C6 intervertebral disc (? Type I degenerative changes).

Screening, T1 Weighted sagittal images of the lumbo-sacral region reveal a fairly large, left paracentral extruded disc with peridiscal osteophytes at the L4-L5 level with indentation on the traversing left L5 nerve root. Hypertrophic facetal arthropathy is noted at the L4-L5 level. The L5 vertebra appears sacralized.

IMPRESSION :

1. Altered signal in the D6 and D7 vertebral bodies adjacent to the D6-D7 intervertebral disc is not specific for a single etiology. These changes may either represent osteitis or may represent Type I degenerative marrow changes.

2. Postero-central disc herniations with peridiscal osteophytes at the D6-D7, D7-D8 and D8-D9 levels.

3. A right postero-lateral disc herniation with peridiscal osteophytes at the D9-D10 level.
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4. Slight facetal hypertrophy in the mid and lower dorsal regions.

5. A fairly large, left paracentral extruded disc with peridiscal osteophytes at the L4-L5 level with indentation on the traversing left L5 nerve root. Hypertrophic facetal arthropathy is noted at this level.

6. Sacralized L5 vertebra. Please correlate with plain radiographs.