sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzi Banlmn / F / 80 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O weakness and paresthesias in BLE since 10 days.

EXAMINATION :

M.R.I of the dorsal spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

7 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is seen a hyperintense signal on the T2 Weighted images in the dorsal spinal cord, centrally, at the D8 and D9 vertebral levels. This lesion appears isointense to normal cord on the T1 Weighted images (scan 104.4, 107.9, 107.10).

Slight facetal hypertrophy is noted at the D9-D10 and D10-D11 levels on the right.

There is loss of water content of the dorsal intervertebral discs.

The dorsal vertebral bodies show spotty fatty marrow changes suggesting osteoporosis. The D6 vertebral body appears wedged. Slight wedging of the D11 body is also noted.

The visualized pre and paravertebral soft tissues are unremarkable.




The conus medullaris terminates at the L1-L2 level.

Screening T1 Weighted sagittal images of the lumbo-sacral spine reveal fatty marrow changes of the lumbar vertebrae. Small, postero-central protruded discs are also noted at the L4-L5 and L5-S1 levels.

IMPRESSION :

1. Altered signal in the dorsal spinal cord, centrally, at the D8 and D9 vertebral levels, may represent myelitis/demyelinating lesion.

2. Fatty marrow changes in the dorsal and lumbar vertebrae may suggest osteoporotic changes.

3. Wedged D6 and D11 vertebrae may suggest osteoporotic fractures.