sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyza Salmn / F / 70 yrs.
Referred by : Dr. Abc Xyzrone.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

H/O tuberculous osteomyelitis for which patient was operated on 00.00.00. (Decompression of D7).
C/O weakness of BLE persists.

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.

OBSERVATION :

The D7 vertebral body is not visualized, ? total collapse, ?? surgical insertion. A kyphus is noted at that level. There is evidence of laminectomy of the D6 and D8 vertebrae with post-operative changes in the posterior dorsal region at these levels.

The D6 and D8 vertebral bodies are slightly wedged and show fatty marrow changes. The intervertebral disc between the D6 and D8 vertebral bodies is slightly hyperintense on the T2 Weighted images.

The dorsal spinal cord over the D6 to D8 vertebral levels is slightly atrophied and shows a hyperintense signal on the T2 Weighted images which may suggest gliotic/myelomalacic changes.

The rest of the dorsal vertebral bodies reveal normal signal intensity. The remaining intervertebral discs show slight loss of water content. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L1 level.
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IMPRESSION :

1. Post-operative status with ? surgical excision, ?? complete collapse of the D7 vertebral body.

2. Altered signal in the D6 and D8 vertebral bodies suggests fatty marrow changes, probably the sequelae of healing osteitis.

3. Atrophy of the dorsal spinal cord over the D6 to D8 vertebral levels, with altered signal may suggest gliotic/myelomalacic changes.

No previous scans were available for comparison.