ke/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzli lmn / M / 45 yrs.
Referred by : Dr. Abc Xyzchile / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

Known C/O multiple myeloma detected 2 years back. Received 5 cycles of Chemotherapy.
C/O backache with pain radiating to BLE.

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.

5 & 6 mm thick T1 Weighted coronal images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is wedging of the D4, D5 and the D12 vertebral bodies. These vertebral bodies show hypointense signal on the T1 Weighted images and which is slightly hyperintense to normal marrow on the T2 Weighted images. Slight wedging of the D7 and D8 vertebral bodies is also seen.

A Schmorls node is noted at the inferior aspect of the D8 vertebral body and at the superior aspect of the D12 vertebral body.

The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity.

The visualized dorsal spinal cord reveals normal signal intensity.
..2/.





>

The conus medullaris terminates at the L1 level.

There is a lobulated lesion in the right extrapleural space at the D8 and D9 levels. This lesion is hyperintense to normal muscle on the T1 Weighted images and is heterogeneously hyperintense on the T2 Weighted images (? arising from the right D8 rib).

A suspicious soft tissue lesion is seen in the hilar region of the spleen (se/im 103/7) ? lymphnode. Further evaluation with ultrasonography would be worthwhile.

The cervico-dorsal spine and the lumbar spine were screened with 4 mm thick T1 Weighted sagittal images and which shows slight wedging of the L2 vertebral body with a subtle hypointense signal. No diagnostic abnormality is noted in the cervical spine.

IMPRESSION :

In a known C/O myeloma, the MRI features are suggestive of wedging and altered signal of the D4, D5, D12 and L2 vertebral bodies as described (? due to multiple myeloma ? compression fracture).

Also seen is wedging of the D7 and D8 vertebral bodies.