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Normal thoracic spine (MRI)

Case contributed by Dr Dalia Ibrahim

Presentation

Back pain.

Patient Data

Age: 20 years
Gender: Male
MRI

·    Normal dimensions of dorsal spinal canal.

·    No dorsal disc herniation or significant bulge.

·   Intact dorsal neural exit foramina.

·   Normal size and signal of the dorsal spinal cord.

·   T1-WI demonstrates mildly diffusely reduced signal of the bone marrow.

·   No para-spinal soft tissue lesions. 

Case Discussion

This is an example of a normal MRI of the dorsal spine.

There are mildly reduced signal of the bone marrow on T1 WI, which could represent hematopoietic hyperplasia. This can occur in non-pathological circumstances as in endurance athletes, in which there is an increased oxygen requirement.

Also, hematopoietic hyperplasia might be seen in certain diseases like chronic anemia, sickle cell disease, thalassemia, and hereditary spherocytosis. Other conditions in which there is marrow hyperplasia include chronic illness, heavy smoking, and obesity.

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Case information

rID: 89962
Published: 31st May 2021
Last edited: 1st Jun 2021
Inclusion in quiz mode: Included

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