Date : 00.00.00
Name of the Patient : Abc Xyz Anlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O paresthesias in BLE since 2 days.
C/O retention of urine since 3 days.
H/O fever +.
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
9 mm thick T1 Weighted axial images and 8 and 9 mm thick T2 Weighted axial images.
There are ill-defined, hyperintense areas on the T2 Weighted images, in the cervical spinal cord, centrally, extending over the D1 to D11-D12 levels. This lesion appears iso to hypointense to normal cord on the T1 Weighted images. Focal areas of patchy altered signal are also noted at the L1, C6 and C2 to C4 vertebral levels.
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.
Altered signal in the dorsal spinal cord over the D1 to D11-D12 levels with patchy altered signal at the L1, C6, C2 to C4 levels as described, is not specific for a single etiology. Myelitis/demyelination are likely possibilities. Ischemic lesions seems less likely.