ke/sb/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzxmi D. Dlmn / F / 48 yrs.
Referred by : Dr. Abc Xyzikwad.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache with paresthesias in BLE.
H/O Right sided Ca Breast for which patient was operated in 0000. Received 6 cycles of chemotherapy and 10 sittings of radiotherapy.
Histopathology s/o infiltrative duct carcinoma.

EXAMINATION :

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.

OBSERVATION :

There is replacement of the normal marrow of nearly all the vertebrae of the spinal axis by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. The C2, C4, D1, D2, D4 and D10 vertebral bodies appear expansile.

There is pre and paravertebral soft tissue extension over the D8 and D9 vertebral levels. The pedicles and the transverse processes of D9 vertebra is involved with anterior epidural extension and compression of the spinal cord. The spinal cord at this level shows a subtle hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia.
Scan-00003


The right pedicle and transverse process as well as the spinous process of the D3 vertebra is also involved with right lateral epidural extension. Posterior elements of the D2 are also involved.

The lumbar intervertebral discs show loss of water content.

The facet joints are unremarkable.

The conus medullaris terminates at the L1 level.

Susceptibility artifacts are noted in the pelvis.

IMPRESSION :

In a known C/O Ca breast the MRI features are suggestive of multiple metastases involving the spinal axis with epidural extension as described at the D3 and D9 levels with cord compression and cord signal alteration suggestive of cord edema/ischemia at the D9 level.