Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 29 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O weakness with dragging of BLE since 3 years.
H/O fever prior to this.
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
10 mm thick T1 Weighted and T2 Weighted axial images.
The lumbar and cervical spines were screened with 5 mm thick T1 Weighted sagittal images and 4 mm thick T2 Weighted sagittal images, respectively.
The dorsal spinal cord over the D9 to D11 vertebral levels appears expansile. There is an ill-defined, hyperintense signal in the dorsal spinal cord extending over the D8 to D12 vertebral levels. This lesion appears hyperintense on the T2 Weighted images. The lesion is located more so, centrally and posteriorly within the dorsal spinal cord. Slight effacement of the CSF space over the extent of the lesion is noted.
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.
There is no cord compression.
The conus medullaris terminates at the L1 level.
Screening images of the cervical and lumbar spines do not reveal any significant feature of note.
Altered signal of the dorsal spinal cord over the D8 to D12 levels with slight expansion of the cord over the D9 to D11 levels is not specific for a single etiology. A demyelinating lesion or a granuloma is a likely possibility. The possibility of a neoplasm seems less likely.
A contrast enhanced scan would be worthwhile for evaluating the underlying pathology.