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.
After administration of contrast the following parameters were used :
5 mm thick T2 Weighted axial images.
5 mm thick T1 Weighted sagittal images with fat saturation.
The dorsal spinal cord over the D9 to D11 vertebral levels still appears expansile. There is an ill-defined, hyperintense signal in the dorsal spinal cord extending over the D8 to D12 vertebral levels.
After administration of contrast there is faint patchy enhancement especially at its periphery over the D9 to D11 vertebral levels.
A suspicious nodular lesion is seen in the left lung field (scan 105.1, 105.2) which is seen to enhance after contrast administration and requires further evaluation.
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.
- 2 - scan-00006
There is no cord compression.
The conus medullaris terminates at the L1 level.
After administration of contrast peripheral enhancement of the dorsal spinal cord over the D9 to D11 levels most likely represents demyelination.
The possibility of a neoplasm seems less likely. Lesion in the left lung requires further evaluation.