sb/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz L. Mujlmn / M / 19 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache since 2 months.
H/O 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.

5 mm thick T1 Weighted and T2 Weighted axial images.

The cervical and lumbar spines were screened with 4 mm thick T2 Weighted sagittal images and 5 mm thick T1 Weighted sagittal images, respectively.

OBSERVATION :

There is an ill-defined, hypointense signal on the T1 Weighted images in the D5 and D6 vertebral bodies. These vertebrae appears hyperintense on the T2 Weighted images. Suspicious erosion of the inferior cortical endplate of D5 is noted with involvement of the D5-D6 intervertebral disc. There is minimal extension of the lesion into the left paravertebral and epidural regions at the D5-D6 disc level (scan 110.11).

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.




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The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.

The conus medullaris terminates at the D12 level.

Screening images of the cervical and lumbar spines do not reveal any significant feature of note.

IMPRESSION :

Altered signal of the D5 and D6 vertebral bodies and the D5-D6 intervertebral disc most likely represents osteitis with discitis, probably tuberculous in etiology. The possibility of a round cell tumor seems less likely.