Date : 00.00.00
Name of the Patient : Abc Xyzerclmn / F / 36 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O paresthesias in the cervico-dorsal region with paresthesias in the LUE and LLE since 2 days.
H/O right sided hemiparesis since 15 days.
M.R.I of the cervico-dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
After administration of contrast, 4 mm thick T1 Weighted sagittal images of the cervical and dorsal spines and 7 mm thick T1 Weighted axial images were obtained.
FEW IMAGES SHOW PATIENT MOTION.
The cervical spinal cord appears swollen and shows a hypointense signal within the cord centrally and slightly to the right of the midline on the T1 Weighted images extending over the cervico-medullary junction to the D2 vertebral level. This is seen to turn heterogeneously hyperintense on the T2 Weighted and Fast Scan (T2 *) images. The normally oval shape of the spinal cord is altered over the C3-C4 to C6-C7 levels with suspicious thickening of the meninges.
After administration of contrast, there is patchy enhancement along the periphery of the spinal cord in the cervical and upper dorsal regions.
Few upper cervical intervertebral discs show loss of water content.
- 2 -
The visualized cervico-dorsal vertebral bodies and the remaining intervertebral discs show normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level.
A right parahilar enlarged lymph node is visualized.
Altered signal in the spinal cord extending over the cervico-medullary junction to the D2 vertebral level predominantly involving the lateral and posterior columns is not specific for a single etiology.
This may represent myelitis with ? arachnoiditis.
The possibility of demyelination/ischemia seems less likely.