sb/hs/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzSiddlmn / M / 70 yrs.
Referred by : Dr. Abc Xyzcha.
Examination : M.R.I. of the Dorsal & Lumbo-sacral
Spines.

CLINICAL PROFILE :

C/O backache since 1 1/2 years.

EXAMINATION :

M.R.I of the dorsal and lumbo-sacral spine was performed using the following parameters :

5 mm and 4 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is central wedging of nearly all the lumbar vertebral bodies, more so of the L1, L4 and L5 vertebral bodies. The L2, L4 and L5 vertebral bodies show a hypointense signal on the T1 Weighted images. A soft tissue lesion is seen in the anterior epidural space at the L5 vertebral level, compressing the thecal sac and indenting the traversing left S1 nerve root. Similar soft tissue lesion is noted in the prevertebral lesion at the L4 vertebral level. The L4 vertebral body is seen to bulge anteriorly and the L5 vertebral body is seen to bulge posteriorly.

Small posterior disc bulges are noted at the L4-L5 and L3-L4 levels and a right postero-lateral (foraminal) disc herniation is noted at the L2-L3 level.

The facet joints at the L5-S1 level appears hypertrophied.
scan-00006

The study of the dorsal spine reveals central and anterior wedging of the D12, D9, D7, and D6 vertebral bodies. The corresponding intervertebral discs are seen to bulge into the dorsal vertebral bodies. Posterior peridiscal osteophytes are noted in the dorsal region. Slight ligamentum flavum hypertrophy is also noted in the mid and lower dorsal region.

The rest of the visualized dorsal and lumbar vertebral bodies show spotty fatty marrow changes suggesting osteoporosis. The visualized intervertebral discs show loss of water content.

The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L1-L2 level and thecal sac terminates at the S1 level.

Perineural cysts are noted in the sacral region. Meningeal cysts are seen within the D8-D9 and D9-D10 neural foramina on the right side.

Screening, T2 Weighted sagittal images of the cervical spine reveal posterior peridiscal osteophytes in the mid and lower cervical region.

Aorta shows atherosclerotic changes.

IMPRESSION :

1. Central wedging of nearly all the lumbar vertebral bodies, more so of the L1, L4 and L5 vertebral bodies with altered signal of the L2, L4 and L5 vertebral bodies as described is not specific for a single etiology. Anterior epidural soft tissue lesion is noted at the L5 vertebral level and prevertebral soft tissue lesion is noted at the L4 vertebral level. Round cell tumors, metastasis or an infective etiology may be considered as differential diagnosis.
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2. Degenerative changes in the cervical, dorsal and lumbar regions as described.

3. Central and anterior wedging of the D12, D9, D7, and D6 vertebral bodies with fatty marrow changes may suggest osteoporotic collapse of the vertebral bodies.