Date : 00.00.00

Name of the Patient : Abc Xyzi Pinlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzzare.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O sudden onset of paraplegia since 4 days with bladder incontinence since 1 day.

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 slight wedging of the D7 and D8 vertebral bodies. The D7 and D8 vertebral bodies appear hypointense on the T1 Weighted images and hyperintense on the T2 Weighted images. The D7-D8 intervertebral disc also seems to be involved.

There is a prevertebral, paravertebral and anterior epidural soft tissue lesion over D7 to D8 vertebral levels. This lesion is of intermediate signal intensity on the T1 Weighted images and appears hyperintense on the T2 Weighted images. There is resultant cord compression and cord signal alteration (hyperintense on the T2 Weighted images) suggesting cord edema/ischemia.

The rest of the visualized dorso-lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.

The conus medullaris terminates at the L1 level.


IMPRESSION :

Altered signal D7 and D8 vertebral bodies and the D7-D8 intervertebral disc most likely represents osteitis with discitis probably tuberculous in etiology. There is resultant cord compression and cord signal alteration at these levels suggesting cord edema/ischemia.

The possibility of a neoplasm is less likely.