sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / F / 68 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O aggressive NHL. Detected in April 0000. Received 2 cycles of chemotherapy.
Now C/O fever, generalized weakness and severe backpain.

EXAMINATION :

M.R.I of the dorsal spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

8 mm thick T1 Weighted and T2 Weighted axial images.

6 mm thick T1 Weighted coronal images.

The lumbar spine was screened with 5 mm thick T1 Weighted sagittal and 7 mm thick T1 Weighted axial images.

The cervical spine was screened with 4 mm thick T2 Weighted sagittal images and 8 mm thick T1 Weighted axial images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is still seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the retrocrural space on the right at the D11/D12 vertebral levels. This lesion appears hyperintense on the T2 Weighted images.

There are multiple, lobulated, soft tissue lesions in the subcarinal region, paraaortic region in the lower thorax at the D7 and D8 vertebral levels, paraaortic, retrocaval and interaortico-caval regions in the visualized abdomen. These most likely represent enlarged lymph nodes.
..2/.






Note is also made of mild splenomegaly.

Screening images of the lumbar spine reveal degenerative changes in the lower lumbar region with fatty changes of marrow. Multiple enlarged lymph nodes are also noted in the lumbar region.

There is slight loss of water content of some of the dorsal intervertebral discs.

Posterior peridiscal osteophytes with posterior disc bulges are identified at the D11-D12, L1-L2 and L2-L3 levels.

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

The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.

The conus medullaris terminates at the L1-L2 level.

Screening images of the cervical region reveal degenerative changes in the mid cervical region.

IMPRESSION :

In a known C/O aggressive non-Hodgkins lymphoma (status post-chemoatherapy-2 cycles), on comparison with the previous MRI dated 00.00.00 (study no:00007), there is significant reduction in the pleural based lesion in the right hemithorax and retrocrural region on the right. Slight decrease in size of the para-aortic lymph nodes in the thorax, subcarinal lymph nodes and the para-aortic lymph nodes in the abdomen is also noted.

No new lesion is detected.