Date : 00.00.00
Name of the Patient : Abc Xyzi Slmn / M / 20 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
Known C/O TBM. On AKT.
C/O backache with paresthesias in BLE since 15 days.
M.R.I of the dorsal spine was performed using the following parameters :
4 mm and 5 mm thick T1 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
4 mm thick T2 Weighted sagittal images through the cervico-dorsal region.
There is seen an ill-defined, intermediate signal intensity mass lesion on the T1 Weighted images in the spinal canal extending over the D2 to atleast the L2 vertebral level. This lesion is most likely intradural in location and appears hyperintense on the T2 Weighted images. The lesion is located posterior and more to the right of the dorsal spinal cord over these levels. The posterior margin of the dorsal spinal cord is not well-defined separately from the lesion on the T1 Weighted images. The surrounding CSF space appears effaced. The dorsal spinal cord at the D3, D4 and D7 vertebral levels appears slightly hyperintense on the T2 Weighted images suggesting cord edema/ischemia.
A small, right paracentral protruded disc with peridiscal osteophyte is noted at the D2-D3 level.
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 cannot be well differentiated on this study.
The T2 Weighted sagittal images of the cervical spine reveal a small, postero-central protruded disc at the C5-C6 level.
Intradural mass lesion within the spinal canal extending over the D2 to atleast the L2 vertebral level, along the posterior margin of the dorsal spinal cord as described is not specific for a single etiology. This most likely represents intradural granulation tissue/abscess, with arachnoiditis, in view of h/o tuberculous meningitis. The possibility of a neoplasm seems less likely.
A contrast enhanced scan is essential to delineate the lesion within the dorsal spinal cord.