Sunday, 27 December 2015 16:48

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Date : 00.00.00

Name of the Patient : Abc Xyzi Jalmn / M / 59 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache radiating to the RLE since 15 days.
C/O retention of urine since 8 days.
H/O fever since 2 months.
H/O trauma +.

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 near complete collapse of the D12 vertebral body which shows fatty marrow changes. The D11-D12 and D12-L1 intervertebral discs are unremarkable. There is indentation on the anterior dural theca by the postero-superior margin of the D12 vertebral body. There is however, no cord compression.

Facetal hypertrophy is noted on the right at the D8-D9 and D10-D11 levels.

The rest of the visualized dorsal vertebral bodies reveal normal signal intensity. The visualized dorsal intervertebral discs show slight loss of water content. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.







The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L1 level.

Screening, T1 Weighted sagittal images of the lumbar spine show evidence of central and anterior wedging of the L4 and L2 vertebral bodies.

Screening, T2 Weighted sagittal images of the cervico-dorsal region do not reveal any significant feature of note.

Incidentally noted is right sided hydronephrosis.

IMPRESSION :

1. Wedging of D12, L2 and L4 vertebral bodies as described most likely is the sequelae of previous trauma. There is however, no significant cord compression or cord signal alteration identified.

2. Slight facetal hypertrophy on the right at the D8-D9 and D10-D11 levels.


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