sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyza Vishwaklmn / F / 10 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache with deformity of the spine since 6 months.
H/O fall 6 months back.

EXAMINATION :

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

4 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 D5 vertebral body with an angular kyphus at that level.

The D4, visualized D5, D6, D7 and D8 vertebral bodies show an ill-defined, hypointense signal on T1 Weighted images which turn hyperintense on the T2 Weighted images. The intervening intervertebral discs are unremarkable.

There is seen an intermediate signal intensity mass lesion on the T1 Weighted images in the prevertebral region extending over the D2 to D9 vertebral levels. This lesion appears hyperintense on the T2 Weighted images and most likely represents an abscess. Few septae are seen within this lesion. Anterior displacement of the trachea, oesophagus and the great vessels is noted. Similar lesion is noted in the epidural space, circumferentially at the D4 and D5 vertebral levels and into the corresponding neural foramen at these levels. The dorsal spinal cord at these levels however show normal signal intensity.



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

The conus medullaris terminates at the L1-L2 level.

IMPRESSION :

Near complete collapse of the D5 vertebral body with altered signal of the D4 to D8 vertebral bodies as described, most likely represents osteitis, probably tuberculous osteitis. Prevertebral and epidural soft tissue lesion may represent an abscess.

There is no significant cord compression or cord signal alteration noted.

The possibility of a neoplasm like a small cell tumor seems unlikely.