Date : 00.00.00
Name of the Patient : Abc Xyza J. Chlmn / F / 15 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O weakness of BLE since 2-3 days with bladder/bowel involvement since 1 day.
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
8 mm thick T1 Weighted and T2 Weighted axial images.
The visualized cervical and dorsal spinal cord appears swollen and shows a hyperintense signal in the centre of the cord over the C2 to D12 levels on the T2 Weighted images and is hyperintense to the cord on the T1 Weighted images. The CSF space is unremarkable.
There is no cord compression.
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.
The MRI features are suggestive of altered signal of the spinal cord centrally, over the C2 to D12 vertebral levels.
In the given clinical setting, this represents myelitis.
The possibility of demyelination seems unlikely.