Date : 00.00.00
Name of the Patient : Abc Xyzed Hlmn / M / 35 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O backache with fever since 2-3 months.
C/O weakness of BLE with bladder involvement since 20-22 days.
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
10 mm thick T1 Weighted and T2 Weighted axial images.
The cervical spine was screened with 4 mm thick T2 Weighted sagittal images.
There is an ill-defined, hyperintense signal on the T2 Weighted images in the cervico-dorsal spinal cord, centrally, extending from C6 to D11 vertebral levels. This signal appears hypointense to normal cord on the T1 Weighted images. Resultant slight increase in diameter of the cervico-dorsal spinal cord over these levels is noted.
There is slight loss of water content of the mid dorsal intervertebral discs.
The visualized dorsal vertebral bodies 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.
Slight increase in diameter of the cervico-dorsal spinal cord over the C6 to D11 vertebral levels as described with altered signal may represent myelitis in the given clinical setting.
The possibility of demyelination seems less likely.
A contrast enhanced scan may be worthwhile to r/o underlying pathology.