sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzBandlmn / F / 21 yrs.
Referred by : Dr. Abc Xyzinde.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

Alleged H/O fall in May 0000 with backache and paresthesias in BLE since then.

EXAMINATION :

M.R.I of the cervico-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 D3 vertebral body with a kyphus at that level.

The D2 and the visualized D3 vertebral bodies appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. The D2-D3 and D3-D4 intervertebral discs show loss of water content. Involvement of both the pedicles of the D2 and D3 vertebrae is noted with involvement of the right sided costo-vertebral and costo-transverse joints at the D3 level and of the left costo-vertebral joint at this level.

There is seen an intermediate signal intensity soft tissue lesion in the prevertebral, paravertebral and anterior epidural region over the D2 to D3 vertebral levels. This lesion also appears hyperintense on the T2 Weighted images. There is resultant cord compression and cord signal alteration (isointense to normal cord on the T1 Weighted images and hyperintense on the T2 Weighted images) suggesting cord edema/ischemia/myelitis.


The rest of the visualized cervico-dorsal vertebral bodies and intervertebral discs reveal normal signal intensity.

IMPRESSION :

Near complete collapse of the D3 vertebral body with altered signal of the D2 and D3 vertebrae as described most likely represents osteitis, probably tuberculous osteitis. Prevertebral, paravertebral and anterior epidural soft tissue lesion may represent granulation tissue/abscess. There is resultant cord compression and cord signal alteration suggesting cord edema/ischemia/myelitis.

The possibility of this lesion representing a neoplasm like a small cell tumor though less likely, cannot be entirely excluded.