Date : 00.00.00
Name of the Patient : Abc Xyzandra Halmn / M / 18 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O paresthesias in BLE since 3-4 days.
M.R.I of the cervico-dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
6 mm thick T1 Weighted and T2 Weighted axial images.
There is an ill-defined, hypointense signal on the T1 Weighted images involving the pedicles, laminae and spinous processes of the D2 and D3 vertebrae. This signal appears diffusely hyperintense on the T2 Weighted images.
There is seen an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the posterior epidural space extending over the D1 to D4 vertebral levels. This lesion appears hyperintense on the T2 Weighted images (minimal soft tissue is also noted in the interspinous region at the D2 and D3 level). There is resultant anterior displacement and compression of the dorsal spinal cord over the D1 to D4 vertebral levels. The dorsal spinal cord over these levels shows a hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia. There is also extension into the neural foramina bilaterally at the D2-D3 and D3-D4 levels.
Subtle signal change is also noted in the D2 and D3 vertebral bodies.
The rest of the visualized cervico-dorsal vertebral bodies and the intervertebral discs show normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
Enlarged paratracheal-retrocaval and pretracheal, mediastinal lymph nodes are noted.
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Altered signal of the pedicles, laminae and spinous processes of the D2 and D3 vertebrae most likely represents osteitis, probably tuberculous osteitis. Posterior epidural soft tissue lesion over the D1 to D4 vertebral levels may represent granulation tissue/abscess. There is resultant cord compression and cord signal alteration over these levels, suggesting cord edema/ischemia.
Enlarged mediastinal lymph nodes are noted as described.
Round cell tumors should be considered as a differential diagnosis.