MRI of cervical spine with screening of whole spine showing feature of pott's disease
MRI LUMI-SACRAL SPINE & SCREENING
Clinical Information: H/o Lung & spine TB.
MRI protocols (pre & post contrast):
Findings:
- The lumbar spine shows mild loss of lordotic curve.
- Destruction of bodies of 012, L1, L2 & L3 vertebrae with signal intensity changes iso intense on both TIW & T2W images is noted.
- Nodular areas of signal intensity changes are seen within spinal canal extending from D12 to L3 vertebrae iso intense on both TIW & T2W images.
- All the traversing nerve roots at this level are compressed. Gross fluid collections are seen in both paravertebral regions, more on left side. Post contrast scan revealed enhancement of vertebral lesions with marginal enhancement of epidural and paravertebral lesions.
- The conus medullaris terminates normally at L1 level and shows no abnormal signal intensity.
- Screening T2W sagittal images of cervical and dorsal regions revealed mild posterior disc bulges indenting ventral subarachnoid space at C3-4, C4-5 and C5-6 levels. D12-L1: Increased signal intensity is noted in the disc with normal disc height.
- No evidence of disc bulge or protrusion noted. LI-L2: Loss of signal intensity is noted in the disc with normal disc height.
- No evidence of disc bulge or protrusion noted. L2-L3: Increased signal intensity is noted in the disc with normal disc height. No evidence of disc bulge o protrusion noted.
Impression
1. Lumbar lordosis is little lost.
2. Spondylodiscitis D12-L1 & L2-L3.
3, Gross epidural and bilateral paravertebral fluid collections with compression of nerve roots as described.
4. L1-2: Desiccated disc without bulge or protrusion.
5. L3-4 & L4-5: Desiccated disc with central and both paracentral disc bulge indenting ventral thecal sac & compressing traversing L4 & L5 nerve root of both sides at the respective levels. 6. L5-S1: Inflammatory discitis without bulge or protrusion.