Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 18 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
Alleged H/O fall from a bus 1 1/2 months back with backache and difficulty in walking.
C/O weakness of BLE since 00.00.00.
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
3 mm thick T2 Weighted coronal images.
There is seen a well marginated, approximately 1.5 x 1.3 x 2.3 cms sized hypointense mass lesion on the T1 Weighted images in the spinal canal at the D7 and D8 vertebral levels. This lesion appears heterogeneously hyperintense on the T2 Weighted images with focal hypointense signal within. This lesion is most likely extradural in location and is to the right of the dorsal spinal cord at these levels. There is resultant cord compression with displacement of the dorsal cord to the left of the midline. The dorsal spinal cord at the D7 and D8 vertebral levels shows a hyperintense signal on the T2 Weighted images suggestive of cord edema/ischemia.
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.
Similar signal intensity lesions are also noted in the posterior paraspinal soft tissues at the D10 vertebral level and in the soft tissues in the right axilla/right postero-lateral chest wall (se/im 108/1, 104/6, 104/7).
An approximately 1.5 x 1.3 x 2.3 cms sized intraspinal (most likely extradural) mass lesion to the right of the dorsal spinal cord at the D7 and D8 vertebral levels with cord compression, as
described, is not specific for a single diagnosis. This lesion most likely represents a nerve sheath tumor.
Suspicious, similar lesions are noted in the posterior paraspinal soft tissues at the D10 vertebral level and in the soft tissues in the right axilla/right postero-lateral chest wall.