ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc XyzKlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzvani
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O acute leukemia detected 4 weeks back.
C/O generalized weakness with backache.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted (with fat saturation) sagittal images.

7 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There are ill-defined, hypointense areas on the T1 Weighted images, replacing the normal fatty marrow of the visualized dorsal vertebrae. These appear isointense to normal vertebrae
on the T2 Weighted images.

The visualized dorso-lumbar intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The visualized dorso-lumbar spinal cord reveals normal signal intensity.

The conus medullaris terminates at the D12-L1 level.

Similar signal intensity changes are noted in the visualized lumbar vertebrae and the pelvic bones. A small posterior disc herniation is seen at the L5-S1 level.
- 2 - Scan-00001

IMPRESSION :

Altered signal of the visualized dorsal and lumbar vertebral bodies and pelvic bones as described, in a known C/O acute leukemia, is not specific for a single etiology. These changes may either be due to replacement of the normal fatty marrow by hematopoietic marrow or may represent leukemic infiltrates.