Date : 00.00.00
Name of the Patient : Abc Xyzra Vlmn / M / 20 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache and paresthesias in BLE since 1 month with sudden onset of paraplegia since 3-4 days.
H/O injury to neck 20 days back.
M.R.I of the dorsal spine was performed using the following parameters :
5 mm thick T1 Weighted, Proton and T2 Weighted sagittal images.
7 mm thick T1 Weighted and T2 Weighted axial images.
There is a lesion in the epidural space on the right and posteriorly extending over the C6 to the D6 vertebral levels. This lesion is slightly hyperintense to normal muscle on the T1 Weighted images and is seen to turn more hyperintense on the T2 Weighted images. The lesion is seen to extend through the right neural foramina in the upper cervico-dorsal region into the paravertebral soft tissues superiorly and posteriorly and into the pleural/extrapleural space. There is displacement and compression of the spinal cord to the left over the C7 to the D5 levels. The cervico-dorsal spine over these levels shows a hyperintense signal on the T2 Weighted images suggesting cord edema/ischemia.
Probable involvement of the posterior elements of D4 vertebra is noted.
The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.
- 2 - scan-00005
The MRI features are suggestive of a lesion in the epidural space on the right and posteriorly extending over the C6 to the D6 levels with extensions as described. This is not specific for a single etiology. A round cell tumor/metastasis or tuberculosis may be considered as differential diagnosis.
Altered signal in the cervical spinal cord over the C7 to D5 vertebral levels may represent cord edema/ischemia.