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Name of the Patient : Abc Xyzen lmn / F / 67 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache.

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 :

There is a decrease in the height of the D6, D7, D8, D9 and D12 vertebral bodies with anterior wedging.

Hypointense areas on all the pulse sequences are seen within the D7, D8 and D9 vertebral bodies and these may represent sclerotic changes/compressed trabeculae.

An osteophyte is seen to arise from the postero-superior aspect of the D12 vertebral body with resultant indentation on the spinal cord.

Schmorls nodes are noted at the superior aspect of the D12 and L1 vertebral bodies. There is slight anterior wedging of the L1 vertebral body. Facetal/capsular ligament hypertrophy is seen at the D9-D10 and D10-D11 levels. Posterior peridiscal osteophyte is seen to arise from the inferior surface of the D9 vertebra.

The visualized dorsal vertebral bodies show areas of fatty replacement of normal marrow.
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Anterior disc herniations are seen over the D6-D7 to D9-D10 levels.

The visualized dorsal intervertebral discs show loss of water content.

Suspicious enlarged right paraaortic lymph nodes are seen at the L1 vertebral level.

The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L1-L2 level.

IMPRESSION :

The MRI features are suggestive of decrease in height of the D6, D7, D8, D9 and D12 vertebrae with anterior wedging as described. These most likely represent compression fractures superimposed upon an osteoporotic spine (less likely to be associated with a pathologic process).