sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Dclmn / M / 43 yrs.
Referred by : Dr. Abc XyzShah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

H/O left thoracotomy with chest wall schwanomma removed (from 7th intercostal nerve).
C/O backache with occasional giddiness.

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 slight loss of water content of the mid and lower dorsal intervertebral discs.

There is a small, right paracentral disc herniation with peridiscal osteophyte at the D9-D10 level, indenting the dural theca anteriorly.

Small posterior peridiscal osteophyte is noted at the D10-D11 level.

Anterior peridiscal osteophytes are noted in the middorsal region more to the right of the midline.

Post-operative changes are noted in the left paravertebral region at the D7 and D8 vertebral levels.

A hemangioma with fat content is noted in the D12 vertebral body.


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

The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L2 level.

The T1 Weighted sagittal images of the lumbar spine reveal a degenerated L5-S1 disc with a posterior peridiscal osteophyte at that level.

IMPRESSION :

1. Post-operative status.

2. Small, right paracentral disc herniation with peridiscal osteophyte at the D9-D10 level.

3. Small posterior peridiscal osteophyte at the D10-D11 level.