Date : 00.00.00
Name of the Patient : Abc Xyz Sonalmn / M / 20 yrs.
Referred by : Dr. Abc Xyzrnad.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O paraplegia with bladder involvement since 2 days.
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
9 mm thick T1 Weighted and T2 Weighted axial images.
There is seen a small, approximately 8.0 mms diameter sized well-defined, hypointense lesion on the T1 Weighted images in the dorsal spinal cord, posteriorly, at the D9 vertebral level. This lesion appears hyperintense on the T2 Weighted images with a peripheral hypointense rim. There is a hyperintense signal on the T2 Weighted images (isointense to normal cord on the T1 Weighted images) in the dorsal spinal cord, centrally extending over the D2 vertebral level upto the tip of the conus medullaris. This most likely represents perilesional edema.
Schmorls nodes are noted in the dorso-lumbar region.
The visualized dorsal vertebral bodies and the 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.
An approximately 8.0 mms diameter sized lesion in the dorsal spinal cord, posteriorly, at the D9 vertebral level, is not specific for a single etiology. The image morphology suggest a granuloma, most likely a cysticercus cyst. Altered signal in the dorsal centrally, may represent cord edema.
A follow up scan with contrast is essential.