ke/hs/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xylmn / F / 35 yrs.
Referred by : Dr. Abc XyzBR> Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

Known C/O left Ca breast. Operated 4 years back.
C/O backache radiating to the RLE since 8-10 days.

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 near complete collapse of the D12 vertebral body and central wedging of the D11 and L5 vertebral bodies with an angular kyphus at the D11/D12 level.

There is replacement of the normal marrow of nearly all the vertebrae in the spinal axis by hypointense areas on the T1 Weighted images which are seen to turn heterogeneously hyperintense on the T2 Weighted images. Similar areas are also noted within the sternum, appendages of a few vertebrae and the sacral ala and the iliac bone on the left side.

There is posterior bulging of the D10, D11 and D12 vertebral bodies with posterior displacement and compression of the spinal cord. The cord over the D9 to D12 levels shows a subtle hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia.





Pre and paravertebral soft tissue extension with epidural extension is noted in the sacral region.

A large pleural effusion is seen on the right side.

The conus medullaris terminates at the D12-L1 level.

IMPRESSION :

In a known C/O Ca breast, the MRI features are suggestive of altered signal in the spinal axis and within the sternum and the sacral ala and in the iliac bone on the left side is suggestive of metastasis. There is cord signal alteration over the D9 to D12 vertebral levels suggestive of cord edema/ischemia.