ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzan Siddlmn / F / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache since 1 month with paresthesias in the RLE since 15 days. H/O mild fever (off & on) with loss of appetite.

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 replacement of the normal marrow of the D11 vertebral body by hypointense areas on the T1 Weighted images which are seen to turn hyperintense on the T2 Weighted images. The pedicles of this vertebra are also involved by the pathology. There is mild pre and paravertebral soft tissue extension at the D10 and D11 levels. Anterior epidural extension is also noted at these levels with posterior displacement and compression of the spinal cord at these levels. The dorsal spinal cord shows a subtle hyperintense signal on the T2 Weighted images which is isointense to the normal cord on the T1 Weighted images suggestive of cord edema/ischemia/myelitis. The D10-D11 disc reveals loss of water content.

The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.

The conus medullaris terminates at the L1-L2 level.


IMPRESSION :

The MRI features are suggestive of altered signal of the altered signal of the D11 vertebra with soft tissue extensions as described with cord compression and cord edema/isclmn / Myelitis. This most probably is due to a granulomatous infective process like tuberculosis.

The possibility of this being a neoplastic process like round cell tumor is less likely.