Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 20 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O acute onset paraplegia, since 1 day.
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
8 mm thick T1 Weighted and T2 Weighted axial images.
The D12 vertebral body is as marked on the film.
There is seen a fairly large intermediate signal intensity lesion on the T1 Weighted images in the posterior epidural space extending over the D9 to D11 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. There is resultant anterior displacement and compression of the dorsal spinal cord over these levels. The dorsal spinal cord over these levels shows a hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia.
The rest of the 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 L1 level.
A posterior epidural lesion extending over the D9 to D11 vertebral levels as described is not specific for a single etiology. This may represent granulation tissue (? tuberculous etiology) or round cell tumors. Epidural hematoma seems less likely. There is resultant cord compression and cord signal alteration suggesting cord edema/ischemia.