 Good morning everyone. Myself Dr. Ankita, I am a second-year resident from Maharshi Market Deshwar University. Today's topic for my paper presentation is MRI in Pod Spine. Is it a necessity? Ames and Objectives. The purpose of this study is to evaluate the role of MRI as an investigative modality in typical losses of spine or to documentious value in early diagnosis and management. Either it is the role of MRI in determining the extent of spinal TV, which is compared to plane radiography. Studying the MR appearances of TV spine encountered in a hospital. Introduction. Tuberculosis is increasing in the developing countries and reimbursing in the developed ones. Tuberculosis of spine is an infection which is caused by mycobacterium tuberculosis, involving one or more components of the spine, namely the vertebra, intervertebral disc, paraspinal soft tissues, and epidural space. It is the most clinically important form of extra pulmonary TV, as it will produce serious neurological sequelae due to compression of spinal cord. Early recognition and prompt treatment are therefore necessary to minimize residual spinal deformity or permanent neurological deficit. This retrospective study highlights and correlates the image morphology of spinal TV on X-ray and MRI bones. Materials and methods. The study was done on patients, which was diagnosed with TV of spine. The diagnosis was established on the basis of at least one of the following criteria, which are histological evidence of casiating granulomas, or culture of acid phosphorylate, or satisfactory therapeutic response to chemotherapy in patients with clinical or radiological evidence of spinal TV. Plain radiographs and MRI of spine were carried out in all the patients. MRI was done using 1.5 tesla filip system, and the images were T1 weighted, T2 weighted, STER, and post-contrast gadolin T1 weighted sequences, with sections with sedytal, coronal, and axiom planes. Results. In study of 30 patients, the results were evaluated as per following parameters, which were clinical features, vertebral level, type of vertebral lesion, comparison of X-ray and MRI finding. According to clinical features, the maximum number of patients presented with back pain, which was followed by fever, spinal deformity, parapheresis, and bowel bladder involvement. Vertebral level. Out of all the patients, it was observed that dorsal lumbar vertebra were the most affected ones, and sacral were the least ones. Types of vertebral lesion, this maximum number of lesions involved the central portion of the vertebral. Comparison between the plane radiograph and MRI findings in this study concluded that level of involvement was more at dorsal lumbar vertebral, which was the central type of lesion, and also the IV disc involvement in abscesses were formed, which were maximum that is seen in 20 number of patients, and bone destruction was also common in out of which, bedging was the most important one. Discussion. Plane radiograph features the spread of infection is typically described as subligamentous, that is beneath the anterior longitudinal ligament, usually sparing the posterior elements or involving at the multiple levels. It is seen with irregularity of interior superior end plate due to subligamentous extension, there may be some irregularity of anterior vertebral margins. This is a classic appearance of TB spondylitis. As with other extra pulmonary TB, the chest will maybe unrevealing or no pulmonary lesion, such as seen in up to 50% of cases with the source being a primary lung lesion that is clinically silent. MRI features are vertical body and plate involvement appear as heterogeneously enhancing end plate irregularity on post contrast sequences, hypo intense on T1 weighted and hyper intense on T2 weighted images. Marrow edema also appeared as hyper intense areas on T2 weighted and stir images. Intervertebral disc involvement appears hypo intense on T1 weighted and hyper intense on T2 weighted images and shows heterogeneous enhancement on post contrast T1 weighted images. Prevertebral, parvertebral and swast abscesses also appeared as heterogeneous lesion with peripheral enhancement and central non-enhancing hypo intense areas. Now the case reports. The case one is that are the images of a 44 year old male with short hypo intense signal at the level of L3 vertebral body on T1 weighted sag and cross sections. Similarly, the same lesions appeared as hyper intense on T2 weighted images. However, there was no evidence of pre or paravortable abscesses. In case two images of a 75 year old female patient were taken with short hypo intense lesions involving D9 and D10 vertebra on T1 weighted and hyper intense on T2 weighted images. Also the post contrast T1 shows enhancing margins of bony erosions with enhancing granulation tissue. These are the images of 10 year old male showing erosions of T10 T11 vertebral body with wedging in the space or the traiter at the level of T10 11 vertebral. Prevertebral and bilateral paravortable spaces that is the abscesses were involved. Post contrast T1 weighted images shows enhancement of margins of the abscess and also of margins of area of erosion of the vertebral bodies. Another case four showed the images of 11 years old female who presented with kyphoskeletal deformity involving N1 and L2 vertebral. Hypo intense areas in L1 and L2 vertebral body on T1 weighted images which appeared as hyper intense on T2 weighted. Prevertebral and paravortable abscess were also more. Case five are the images of 13 years old female which showed large prevertebral collection that is abscess, hyper intense areas in C1, C2, C3 vertebral bodies which were suggestive of erosion and there was no evidence of spinal cord involvement. The case six are the images of 28 years old male which showed hyper intense signal that is areas on the T1 weighted images involving the 10 and B11 vertebral body with reduction of this space with pre and paravortable abscesses. Post contrast studies shows enhancement of wall of abscess and of margins of bogey erosions. Outcome, now the outcome of studies that it showed that the most common clinical feature is back pain followed by deformity with most patients being aphrodribe. Most common vertebral level which was involved is dorsal and was followed by lumbar and the cervical with the sacral being the least involved. Central type of vertebral lesion is common then paradiscule and rarely it involves the posterior elements. On comparing both the modalities, bone destruction is equally assessed whereas soft tissue involvement, extent of lesion, type of lesion and ideal disc involvement are better visualized on MRI. So is MRI on the CESP conclusion? The MRI offers excellent visualization of the bone, soft tissue components of spinal TV and helps to identify disease at distinct asymptomatic sites. Also these images clearly demonstrates the extent of soft tissue involvement and its effect to the thica, chord or pharma. It helps in early diagnosis and therefore management. Thank you.