Date : 00.00.00
Name of the Patient : Abc Xyz K. Wallmn / F / 8 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with weakness of BLE (right more than left) since 8-10 days.
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
4 mm thick T1 Weighted and T2 Weighted axial images.
4 mm thick T1 Weighted coronal images.
There is seen an approximately 1.0 x 0.9 x 1.5 cms sized well-defined, intramedullary mass within the upper dorsal spinal cord at the D1 and D2 vertebral levels. Resultant slight expansion of the spinal cord is noted at that level. This lesion is predominantly hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images (of fluid signal intensity). Within this lesion, is seen a linear signal which is isointense to the spinal cord on all the pulse sequences. The dorsal spinal cord, superior and inferior to this lesion shows a hyperintense signal on the T2 Weighted images, centrally, at the C7 and D3 vertebral levels which may represent cord edema.
- 2 - Scan-00009
The D8 vertebral body shows a hypointense signal, centrally on the T1 Weighted images which appears isointense to the rest of the vertebrae on the T2 Weighted images.
The remaining visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12-L1 level.
Incidentally noted is soft tissue lesions in the pretracheal, paratracheal and subcarinal region which may represent enlarged lymphnodes.
An approximately 1.0 x 0.9 x 1.5 cms sized intramedullary mass lesion within the upper dorsal spinal cord at the D1 and D2 vertebral levels with signal characteristics as described is not specific for a single etiology. This lesion may represent a granuloma (? cysticercus) or a focal neoplasm like a glial cell tumor. The possibility of a focal syrinx may also be considered.
A follow-up scan with contrast would be worth while.