Date : 00.00.00
Name of the Patient : Abc Xyzoylmn / M / 30 yrs.
Referred by : Dr. Abc Xyzs.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
H/O accidental injury in October 0000 with quadriplegia. Treated with traction and improved partially.
C/O weakness of grip on the right side, walks with crutches, low back pain, gait imbalance, more to the left and buckling of knees since then.
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
There is slight loss of water content of the D12-L1 intervertebral disc.
Slight ligamentum flavum/capsular ligament hypertrophy is noted at the D5-D6, D6-D7 and D7-D8 levels.
The visualized dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
The visualized dorsal spinal cord appears slightly smaller in diameter, without signal intensity change. There is no cord compression.
The conus medullaris terminates at the D12-L1 level.
1. Slight ligamentum flavum/capsular ligament hypertrophy at the D5-D6, D6-D7 and D7-D8 levels.
2. The dorsal spinal cord appears slightly small in diameter, without change in signal intensity.