sb/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz G. Chlmn / M / 17 yrs.
Referred by : Dr. Abc Xyzhari
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache since 2-3 months.
C/O paraplegia since 15 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.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

The D10 vertebral body is as marked on the film.

There is near complete collapse of the D6 vertebral body. The D6 vertebral body and its posterior elements appear hypointense on the T1 Weighted images and heterogeneously hyperintense on the T2 Weighted images. The D5-D6 and D6-D7 intervertebral discs are unremarkable. The cortical endplates of D6 appear intact. There is slight circumferential bulging of the D6 body. There is posterior epidural soft tissue lesion at the D6 vertebral level with resultant cord compression. The dorsal spinal cord at the D6 vertebral level appears hyperintense on the T2 Weighted images (isointense to normal cord on the T1 Weighted images) suggesting cord edema/ischemia.

There is slight anterior wedging of the D9 vertebral body which appears hypointense on the T1 Weighted images but isointense to normal vertebrae on the T2 Weighted images.
Scan-00006



The rest of 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 conus medullaris terminates at the D12 level.

IMPRESSION :

Near complete collapse of the D6 vertebral body with altered signal as described is not specific for a single etiology. Tuberculous osteitis or round cell tumor may be considered as differential diagnosis.

Posterior epidural soft tissue is noted at the D6 vertebral level with cord compression. Cord signal alteration at this level suggest cord edema/ischemia.

The D9 vertebral body also shows altered signal.