ke/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz V. lmn / F / 22 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache with swelling on the right side since 1 month.
H/O loss of weight and fever.

EXAMINATION :

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

4 mm thick T1 Weighted and T2 Weighted sagittal images.

6 mm thick T1 Weighted and T2 Weighted axial images.

4 mm thick T2 Weighted coronal images.

OBSERVATION :

There is probable erosion of the right pedicle and transverse process of D11 and the head and neck of the right eleventh rib. There is seen a small, intermediate signal intensity mass lesion on the T1 Weighted images in the right posterior paraspinal soft tissues and right paravertebral region, extending over the D10 to D12 vertebral levels. This lesion appears hyperintense on the T2 Weighted images.

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

The visualized dorsal spinal cord reveals normal signal intensity.




The conus medullaris terminates at the D12-L1 level.

A well-defined lesion which is hyperintense on the T1 Weighted images is seen in the posterior lung parenchyma on the right side at the D5-D6 level. This is heterogeneously hyperintense on the T2 Weighted images.

Suspicious, enlarged, subcarinal lymph nodes are noted.

IMPRESSION :

1. Soft tissue lesion in the right posterior paraspinal region and right paravertebral region, extending over the D10 to D12 vertebral levels may represent granulation tissue/abscess. Probable erosion of the right pedicle, right transverse process and head and neck of the right eleventh rib is noted.

2. A lesion in the posterior lung parenchyma on the right side at the D5-D6 level as described could be a granuloma.

3. Probable enlarged subcarinal lymph nodes.

The above described findings may suggest a tuberculous etiology. The possibility of a neoplasm seems less likely.