Date : 00.00.00
Name of the Patient : Abc Xyzhlmn / F / 35 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O sudden onset of weakness of BLE since 2-3 days.
H/O dog bite 1 month back. Received ARV.
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
8 mm thick T1 Weighted and T2 Weighted axial images.
There is slight increase in diameter of the dorsal spinal cord. There is an ill-defined, hyperintense signal on the T2 Weighted images in the dorsal spinal cord extending over the D1 vertebral level to D11-D12 disc level. This lesion appears hypointense to normal cord on the T1 Weighted images.
The D10 vertebral body shows evidence of a small hemangioma with fat content (hyperintense on all the pulse sequences).
The rest of the visualized dorsal vertebral bodies and intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.
There is no cord compression.
The conus medullaris terminates at the L1-L2 level.
Altered signal in the dorsal spinal cord centrally, extending over the D1 vertebral level to D11-D12 disc level most likely represents a demyelinating lesion, in the given clinical setting (h/o dog bite and subsequent ARV).