ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzuklmn / F / 56 yrs.
Referred by : Dr. Abc XyzR> Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

H/O fall 15 days back with paraparesis and retention of urine.
Histopathology s/o Non-Hodgkins lymphoma. Received 1 cycle of chemotherapy.

EXAMINATION :

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

5 mm thick T1 Weighted and T2 Weighted sagittal images.

7 mm thick T1 Weighted and T2 Weighted axial images.

The cervico-dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and the lumbar spine was screened with 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

The spinal axis shows replacement of the normal marrow by hypointense areas on the T1 Weighted images. These are seen to turn heterogeneously hyperintense on the T2 Weighted images. Minimal paravertebral soft tissue extension is noted at the D7, D8 and D9 vertebral levels.

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

The visualized dorso-lumbar spinal cord reveals normal signal intensity. There is no cord compression.

The conus medullaris terminates at the L1 level.


Screening of the lumbar spine reveals a left paracentral disc herniation at the L4-L5 level.

IMPRESSION :

In a known C/O lymphoma, the MRI features are suggestive of altered signal of the spinal axis with minimal paravertebral soft tissue extension at the D7 and D8 vertebral levels. There is no cord compression.