sb/ke/nl/nl.
Date : 00.00.00
Name of the Patient : Abc Xyzben Yalmn / F / 70 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O weakness of BLE since 2 days.
H/O spinal surgery in 0000 and 0000 (details not available).
C/O backache radiating to BLE with paresthesias since 0000.
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 :
There is loss of water content of the dorsal intervertebral discs.
There is a small postero-central protruded disc with peridiscal osteophytes at the D11-D12 level. Slight facetal hypertrophy is also noted at this level, more on the right side.
Small posterior peridiscal osteophyte is noted at the D7-D8 level.
The visualized dorsal vertebral bodies reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord reveals normal signal intensity. There is no cord compression.
The conus medullaris terminates at the L1 level.
- 2 - Scan-00004
Screening, T2 Weighted sagittal images of the cervical spine reveal small postero-central protruded disc with peridiscal osteophytes in the midcervical region.
Screening, T1 Weighted sagittal images of the lumbar spine reveal post-operative changes at the L4 and L5 levels with susceptibility artifacts, probably due to previous internal fixation.
IMPRESSION :
1. A small postero-central protruded disc with peridiscal osteophytes at the D11-D12 level with slight facetal hypertrophy bilaterally, more on the right side.
2. Small posterior peridiscal osteophyte at the D7-D8 level.
3. Small postero-central protruded disc with peridiscal osteophytes in the midcervical region.
4. Patient is status post-operative in the lumbar region (surgical details not available).