sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzPardlmn / F / 17 yrs.
Referred by : Dr. Abc Xyzauhan.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

H/O backache with fever since 1 1/2 months.
H/O fall 2 days back with weakness of BLE since then.

EXAMINATION :

M.R.I of the cervico-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 near complete collapse of the D2 vertebral body and partial collapse of the D1 vertebral body. There is overiding of the D1 over the D2 vertebra. The D1-D2 and D2-D3 intervertebral discs are not well-defined.

The D1, D2 and D3 vertebral bodies show an ill-defined hypointense signal on the T1 Weighted images which appears hyperintense on the T2 Weighted images. The posterior elements of D2 and D3 vertebrae seem to be involved. There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the prevertebral and paravertebral regions extending over D1 to D3 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. There is extension of the soft tissue lesion into the epidural spaces circumferentially over the D1 to D3 vertebral levels with resultant cord compression. The cervical spinal cord over these levels shows a hyperintense signal on the T2 Weighted images, suggesting cord edema/ischemia. Involvement of the costo-vertebral joints at D1 and D2 levels is noted.


The rest of the visualized cervico-dorsal vertebral bodies and the intervertebral discs show normal signal intensity.
The facet joints are unremarkable.

Multiple mediastinal lymphnodes are noted.

IMPRESSION :

Near complete collapse of the D2 vertebral body and partial collapse of the D1 vertebral body with altered signal of the D1, D2 and D3 vertebrae and involvement of the D1-D2 and D2-D3 intervrtebral discs as described most likely represents osteitis with discitis probably tuberculous in etiology. Prevertebral and paravertebral soft tissue lesion may represent an abscess. There is resultant cord compression and cord signal alteration over D1 to D3 vertebral levels suggesting cord edema/ischemia.

The possibility of above described lesion representing a neoplasm seems less likely.