Name MR.

LOGANATHANK Patient ID AS_CMT_MRI_32506

Accession No 14_032506_212097 Age/Gender 66Y / Male

Referred By Dr.ASWIN KUMAR MBBS D ORTHO Date 24-Aug-2021

MRI REPORT - WHOLE SPINE

TECHNIQUE:
T1W, T2W Sagittal T2W STIR CoronalSI joints
T2W Axial MR Myelogram

CLINICAL HISTORY: k/c/o carcinoma prostate with bone metastasis.

Multifocal variable sized T1/T2 hypointense osteosclerotic lesion diffusely involving
cervical, dorsal and lumbo-sacral vertebra, bilateral sacral ala, visualized iliac bones.
CERVICAL SPINE:
Degenerative changes in the form of multifocal marginal osteophytes with endplates
sclerotic changes in C4, C5 and C6 vertebra.
Posterior longitudinal ligament calcification at C4, C5 and C6 levels causing compression of
spinal cord. T2 hyperintense signal changes noted in the cervical spinal cord.
No evidence of disc herniation, nerve compression or thecal sac compression is seen at any
level.
The facet joints and neural foraminae appear normal.
The alignment of the vertebrae is normal.
At C3-4: Disc osteophytes complex causing thecal sac indentation, bilateral neural foraminal
narrowing and abutting bilateral exiting nerve roots.
Posterior longitudinal ligament calcification at C4-5, C5-6 and C6-7 levels causing thecal sac
compression, spinal canal stenosis and compressing spinal cord and bilateral exiting nerve
roots.
The cervical canal dimensions from C2 to C7 is as follows
Level C2-3 C3-C4 C4-C5 C5-C6 C6-C7 C7-D1

Cm 0.83 0.76 0.44 0.61 0.95 1.14

There is no evidence of tonsilar herniation.

The cranio vertebral junction is normal. The atlanto-axial joint is normal.
The pre and paraspinal regions do not show any abnormal soft tissue lesion or abnormal signal
intensity.

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Name MR.LOGANATHANK Patient ID AS_CMT_MRI_32506

Accession No 14_032506_212097 Age/Gender 66Y / Male

Referred By Dr.ASWIN KUMAR MBBS D ORTHO Date 24-Aug-2021

A well defined T1/T2hypointense lesion measuring ~1.9x 1.1 cm noted in the visualized
occipital bone.
DORSAL SPINE:
Ligament flavum thickening at D9-10 and D10-11 levels causing dorsal thecal sac
compression. No significant signal changes in spinal cord.
The spinal canal dimensions are within normal limits.
The dorsal spinal cord and the sub arachnoid space are normal.
The paraspinal soft tissues appear normal.
LUMBAR SPINE:
Degenerative changes in the form of multifocal marginal osteophytes.
The intervertebral disc spaces shows normal height and signal pattern. No evidence of any disc
dehydration or herniation made out.
The facet joints and neural foraminae appear normal.
The Pedicles, laminae, spinous process and transverse process of the lumbar vertebrae show
normal morphology. No evidence of spondylolysis.
The ligamentum flavum thickness is within normal limits.
Disc desiccations at L2-3, L3-4, L4-5 and L5-S1 intervertebral disc levels.
At L4-5: Diffuse disc bulge with central annular disc fissure causing thecal sac indentation,
narrowing of bilateral lateral recess and indenting bilateral L5 traversing and L4 exiting
nerve roots.
At L5-S1: Diffuse disc bulge with central disc protrusion causing thecal sac indentation,
narrowing of bilateral lateral recess and indenting bilateral S1 traversing and L4 exiting
nerve roots.
The bony spinal canal diameter is normal.
Level L1-2 L2-3 L3-4 L4-5 L5-S1
Cm 1.56 1.29 1.41 1.05 1.02

The spinal cord, conus medullaris and the sub arachnoid space are normal.
The paraspinal soft tissues appear normal.
Both sacroiliac joints appear normal.

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Name MR.LOGANATHANK Patient ID AS_CMT_MRI_32506

Accession No 14_032506_212097 Age/Gender 66Y / Male

Referred By Dr.ASWIN KUMAR MBBS D ORTHO Date 24-Aug-2021

IMPRESSION:
- Multifocal variable sized T1/T2 hypointense osteosclerotic lesion diffusely involving
cervical, dorsal and lumbo-sacral vertebra, bilateral sacral ala, visualized iliac bones.
- A well defined T1/T2hypointense lesion in the visualized occipital bone.
- Possibility of metastatic etiology to be considered.
CERVICAL SPINE:
- Cervical spondylosis.
- Posterior longitudinal ligament calcification at C4, C5 and C6 levels causing compressive
myelopathy.
- Disc osteophytes complex at C3-4 causing thecal sac indentation, bilateral neural
foraminal narrowing and abutting bilateral exiting nerve roots.
- Posterior longitudinal ligament calcification at C4-5, C5-6 and C6-7 levels causing thecal
sac compression, spinal canal stenosis and compressing spinal cord and bilateral exiting
nerve roots.
DORSAL SPINE:
- Ligament flavum thickening at D9-10 and D10-11 levels causing dorsal thecal sac
compression. No significant signal changes in spinal cord.
LUMBAR SPINE:
- Lumbar spondylosis.
- Disc desiccations at L2-3, L3-4, L4-5 and L5-S1 intervertebral disc levels.

- Diffuse disc bulge with central annular disc fissure at L4-5 causing thecal sac
indentation, narrowing of bilateral lateral recess and indenting bilateral L5 traversing
and L4 exiting nerve roots.
- Diffuse disc bulge with central disc protrusion at L5-S1 causing thecal sac indentation,
narrowing of bilateral lateral recess and indenting bilateral S1 traversing and L4 exiting
nerve roots.

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Name MR.LOGANATHANK Patient ID AS_CMT_MRI_32506

Accession No 14_032506_212097 Age/Gender 66Y / Male

Referred By Dr.ASWIN KUMAR MBBS D ORTHO Date 24-Aug-2021

Please note that this report is a radiological professional opinion. It has to be correlated clinically and
interpreted along with other investigations.

Dr. B.H.Parameshwar Keerthi , MDRD.,

Radiologist

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