sb/bv/nl/rg
Date : 00.00.00

Name of the Patient : Abc Xyz Saiflmn / M / 39 yrs.
Referred by : Dr. Abc Xyzoshipura.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

Alleged H/O accident 7 months back with weakness of the LUE and BLE since then.

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.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is anterior wedging of the D12 vertebral body with angular kyphus at that level.

There are hypointense areas on the T1 Weighted images replacing the normal marrow of the D12 vertebral body. These are seen to turn hyperintense on the T2 Weighted images. The superior cortical endplates appears to be breached. An osteophyte arising from the postero-superior aspect of the D12 vertebral body is seen to compress upon the spinal cord. The spinal cord at the D11 and D11-D12 levels is pinched and shows hyperintense signal on the T2 Weighted images. This appears hypointense to the normal cord on the T1 Weighted images and would represent myelomalacia.

Schmorls nodes are seen in the lower dorsal and lumbar region. The D11-D12 intervertebral disc shows loss of water content.

A posterior disc herniation is seen at the L2-L3 level.

Diffuse fatty changes are seen in the D10, D11, D12 and L1 vertebral bodies.
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The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L1 level.

IMPRESSION :

In known C/O trauma, the MRI features are suggestive of :

1. Anterior wedging of the D12 vertebra with bone edema.

2. Pinching of the cord at the D11 and D11-D12 levels by an osteophyte arising from the superior aspect of the D12 vertebra with myelomalacia.