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71/male/ MRI done. T/C ankulosing spondylitis. Findings: T1W/T2W hypointense changes with associated heterogeneously hyperintense STIR signals and mildly expansile component are seen in the following: left side of the body, pedicle and transverse process of T2. Abnormal signals along the posteromedial aspect of the left 2nd rib. Body and posterior elements of T3 with associated severe compression deformity, and mild retropulsion of the fractured segment. Same abnormalities seen in along the posteromedial aspect of the left 3rd rib. Body and posterior elements of T4 and T5. Same abnormalities seen in along the posteromedial aspect of the left 4th and 5th ribs. Posterior aspect of the T6 vertebral body and posteromedial aspect of the left 6th rib. Ovoid foci in the body of T9. Left posterior aspect of teh body of L2. Body and posterior element of L3 with associated sclerotic linear intensities in the body. Body of S1 and S2. Mild gibbus deformity seen in the upper thoracic spine due to aforementioned compression fracture of T3. The lumbar lordosis and alignment are maintained. Rest of the vertebral body heights are intact with no abnormal signals. There is no intraspinal or paraspinal mass lesion. There is mild thickening of the spinal cord at level T3-T5 with associated ill-defined T2W/STIR signals. DISCS: T1-T2: Normal disc signal and height. No disc herniation, spinal canal or neutral foraminal narrowing. T2-T3: Normal disc signal and height. Severe bilateral neutral foraminal narrowing due to aforementioned expansile osseous lesions.T4-T5: Normal disc signal and height. Mild spinal canal narrowing, severe left and moderate neural foraminal narrowing due to aforementioned expansile osseus lesions. T5-T6 to T11-T12: Normal disc signal and height. No disc herniation, spinal canal or neural foraminal narrowing. L1-L2: Mild disc desiccation with preserved height. Mild diffuse disc bulge. No spinal canal or neural foraminal narrowing. L2-L3  to L3-L4: Disc desiccation with preserved height. Diffuse disc bulge with compounding expansile osseus lesions causing mild spinal canal and severe bilateral neural foraminal narrowing.  L4-L5 to L5-S1: Disc desiccation with preserved height. Diffuse disc bulge indenting on the ventral thecal sacs with compounding facet joint hypertrophy causing moderate bilateral neural foraminal narrowing. INCIDENTAL FINDINGS: Trace/minimal bilateral dependent pleural effusion. Moderate to severe right ureteropelvocaliectasia. Bilaeral renal corticcal cysts, largest seen on the left measuring 1.1 x 1.0 cm.
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