ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzPalmn / M / 59 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache since 2-3 years which has increased since 2-3 months.

EXAMINATION :

M.R.I of the dorsal 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.

OBSERVATION :

There is an intermediate signal intensity lesion on the T1 Weighted images which measures approximately 0.8 x 1.2 cms in the spinous process of the D8 vertebra. This is seen to turn hyperintense on the T2 Weighted images. There is expansion of the spinous process but no obvious break in the cortex is noted.

The visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.

The conus medullaris terminates at the L1 level.





IMPRESSION :

Altered signal in the spinous process of the D8 vertebral body measuring approximately 0.8 x 1.2 cms is not specific for a single etiology. The differential diagnosis would include :

1. Aneurysm bone cyst.

2. Giant cell tumor.

3. Metastasis.

4. Infective lesion like tuberculosis.