sb/bv/nl/rg.
Date : 00.00.00
Name of the Patient : Abc Xyz. Almn / M / 23 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O kyphoscoliosis since 10 years.
H/O fall on 00.00.00 with injury to the back with paraparesis and paresthesias in BLE since then.
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 seen an acute kyphotic deformity in the mid and lower dorsal region with an acute angle to the kyphus.
The D7 to D11 vertebral bodies and the intervening intervertebral discs are not well identified on this study. The dorsal spinal cord is stretched over this level and shows a hyperintense signal on the T2 Weighted images at the level of kyphus suggesting cord edema/ischemia/myelomalacia (scans 113.9, 113.10).
The rest of the visualized dorsal and lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The visualized facet joints are unremarkable.
The conus medullaris terminates at the L1 level.
- 2 - scan-00001
IMPRESSION :
Acute kyphotic deformity in the lower dorsal region involving approximately the D7 to D11 vertebral bodies and the intervening intervertebral discs. The dorsal spinal cord is stretched over the apex of the kyphus and shows altered signal suggesting cord edema/ischemia/myelomalacia.
It is difficult to ascertain the etiology of the kyphus.