sb/bv
Date : 00.00.00

Name of the Patient : Abc Xyzana lmn / F / 72 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzmani.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache with radicular pain in BLE and paresthesias since 2 days.
h/O fall on 00.00.00.

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.

5 mm thick T1 Weighted and T2 Weighted axial images.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is central and anterior wedging of the D7 vertebral body which shows a probable vertical fracture line, centrally. Central hypointense signal on all the pulse sequences in the D7 vertebral body may suggest sclerosis/compressed trabeculae. The adjacent discs are herniated into the D7 body, centrally.

There is slight central wedging of the D12 vertebral body, which is slightly retroplaced. Hypointense signal on the T1 Weighted images is noted in the D12 vertebral body, which appears heterogeneously hyperintense on the T2 Weighted images. Generalized bulging of the D12 body circumferentially is noted with mild indentation on the anterior dural theca and the dorsal spinal cord at that level. The adjacent intervertebral discs are unremarkable.

- 2 - Scan - 00001


The rest of the visualized dorsal and lumbar vertebral bodies show spotty fatty marrow suggesting osteoporosis. The dorso-lumbar intervertebral discs show loss of water content.

The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L1-L2 level.

Screening T1 Weighted coronal images of the hip joints reveal an ill-defined, hypointense signal in the right acetabulum and iliac bones. Probable old healed fracture of the right superior pubic ramus is noted (scan 109.14). The rest of the visualized pelvic bones show osteoporotic changes. Note is made of a distended bladder.

Calcification is seen in the right gluteal region in the soft tissues.

IMPRESSION :

1. Central and anterior wedging of the D7 vertebral body is the sequelae of previous trauma.

2. Central wedging of the D12 vertebral body with altered signal and altered signal in the right acetabulum is not specific for a single etiology. This may represent metastasis in view of multifocal involvement or may be post-traumatic in etiology.

3. Osteoporotic changes in the rest of the visualized bones.