ke/sb
Date : 00.00.00

Name of the Patient : Abc Xyzlal K. lmn / M / 69 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.

CLINICAL PROFILE :

C/O gradually progressive weakness of BLE with bladder involvement since 15 days.
H/O spinal surgery 20 years back. Laminectomy over L1 to L5 done on 00.00.00.

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.

OBSERVATION :

There is a right paracentral disc herniation with a peridiscal osteophyte at the D12-L1 level with anterior indentation of the cord.

Small posterior disc herniations with peridiscal osteophytes are seen at the L1-L2 and L2-L3 levels with anterior indentation of the thecal sac. There is bilateral neural foraminal narrowing at the L2-L3 level. The visualized dorso-lumbar intervertebral discs show loss of water content. The lower dorso-lumbar facet joints show degenerative changes.

The visualized dorsal vertebral bodies reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable. Slight anterior wedging of the D12 body is noted.



The visualized dorsal spinal cord reveals normal signal intensity.

The conus medullaris terminates at the L1 level.

The cervico-dorsal spine was screened with 5 mm thick T2 Weighted sagittal images which shows posterior disc herniations with peridiscal osteophytes at the C3-C4, C4-C5 and C5-C6 levels with anterior indentation of the cord and a tight canal. The spinal cord at the C3-C4 level shows a subtle hyperintense signal suggestive of cord edema/ischemia. A detailed study of the cervical spine may be worthwhile.

The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images which shows post-operative changes with laminectomy over the L1 to L5 levels and degenerative changes in the lumbar spine.

IMPRESSION :

1. A right paracentral disc herniation with a peridiscal osteophyte at the D12-L1 level.

2. Posterior disc herniations with peridiscal osteophytes at the C3-C4, C4-C5 and C5-C6 levels with a tight canal.

3. Altered signal of the spinal cord at the C3-C4 level suggestive of cord edema/ischemia.

4. Post-operative changes in the lumbar spine with h/o laminectomy over the L1 to L5 levels and degenerative changes in the lumbar spine.

A dedicated study of the cervical spine is indicated.