hs/bv/nl/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz.Salim Hasimlmn / M / 16 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O occasional backache with pain radiating to BLE.
H/O fever and cough since 3-4 months.
H/O fall 1 1/2 years ago.

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 collapse of the D11 vertebral body with a kyphus at that level. The D10 and D11 vertebral bodies and pedicles show areas of hypointensity on the T1 Weighted images and which turn hyperintense on the T2 Weighted images. There is erosion of the superior cortical endplate of the D11 vertebra with involvement of the D10-D11 intervertebral disc.

The D11 vertebral body is seen to bulge posteriorly. There is extension of the pathologic process over the D9-D10 to the D11-D12 levels with resultant cord compression. The cord over these levels shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia/myelitis. Also seen is extension into the pre and paravertebral soft tissues over the D10 to D12 vertebral levels. There is encroachment into the D11-D12 neural foramina bilaterally.






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

Small retrocrural lymphnodes are visualized.

The conus medullaris terminates at the L1 level.

IMPRESSION :

The MRI features are suggestive of a pathologic process involving the D10 and D11 vertebrae and D10-D11 intervertebral disc with cord edema/ischemia/myelitis as described.

The possibility of a neoplastic process like a small cell tumor though less likely should be considered as a differential diagnosis.