hs/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzddin Adamjilmn / M / 70 yrs.
Referred by : Dr. Abc Xyzapadia.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O backache with pain radiating to BLE with paresthesias since 15-20 days.

EXAMINATION :

M.R.I of the dorsal 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.

The lumbo-sacral spine was screened with 5 mm thick T1 Weighted sagittal images.

OBSERVATION :

The D7 vertebra appears to be as marked on the film. Please correlate with plain radiographs.

Areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted and Fast Scan (T2 *) images are seen to involve the D4, D5 and D6 vertebral bodies and their pedicles. Also seen is involvement of the D5-D6 intervertebral disc with erosion of the adjacent cortical endplates. This disc appears hyperintense on the T2 Weighted images.

There is extension of this pathologic process into the epidural space, more so posteriorly over the D2 to D6 vertebral levels with resultant cord compression. Also seen is extension into the paravertebral soft tissues over the D4 to D6 vertebral levels.
Scan-00008



There is encroachment of the pathologic process into the D4-D5 and D5-D6 neural foramina bilaterally with involvement of the costo-vertebral joints at these levels. There is also encasement of the D5 and D6 nerve roots at this level, bilaterally.

The visualized dorsal intervertebral disc show loss of water content.

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

Anterior peridiscal osteophytes are seen in the mid dorsal region.

The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L1 level.

IMPRESSION :

The MRI features are suggestive of a pathologic process involving the D4, D5 and D6 vertebrae and the D5-D6 intervertebral disc as described. This most likely represents an infective process like tuberculosis.

The possibility of this being a neoplastic process is less likely.