sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyz Ghlmn / M / 24 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache since 2 months with sudden onset of weakness of BLE since 4 days.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

6 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

The D8, D9, D10 and D11 vertebral bodies appear hypointense on the T1 Weighted images and heterogeneously hyperintense on the T2 Weighted images. The D9-D10 intervertebral disc is also involved and appears hyperintense on the T2 Weighted images. There is breach in the superior cortical enplate of D10 and inferior cortical endplate of the D9 vertebral bodies.

There is seen a prevertebral and paravertebral intermediate signal intensity mass lesion on the T1 Weighted images extending over D7 to D12 vertebral levels which also appears hyperintense on the T2 Weighted images. Also epidural extension of the disease process is noted with resultant compression of the dorsal spinal cord at the D9 and D10 vertebral levels. The dorsal spinal cord at these levels shows a hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia. The soft tissue lesion is seen to extend into the corresponding neural foramen at the D9-D10 and D10-D11 levels.

The aorta and the inferior vena cava are displaced anteriorly by the pre and paravertebral soft tissue lesion.

The rest of the visualized dorso-lumbar vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints are unrmarkable.

The conus medullaris terminates at the L1-L2 level.
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Cortical cysts are seen in the left kidney.

Note is made of a distended bladder.

IMPRESSION :

Altered signal of the D8 to D11 vertebral bodies and the D9-D10 intervertebral disc most likely represents osteitis with discitis, probably tuberculous in etiology. Prevertebral and paravertebral lesion over D6 to D12 vertebral levels and
anterior epidural soft tissue lesion at the D9 and D10 vertebral levels most likely represents an abscess/granulation tissue. Cord compression is noted at the D9 and D10 levels with cord signal alteration suggesting cord edema/ischemia.

The possibility of a neoplasm seems less likely.