Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorsal Spine.
CLINICAL PROFILE :
C/O paresthesias in BLE (left more than right) since 6 months.
H/O lifting heavy weight.
M.R.I of the dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
The cervico-dorsal spine was screened with 4 mm thick T2 Weighted sagittal images.
The lumbar spine was screened with 5 mm thick T1 Weighted sagittal images.
The spinal cord over the D3 to the D6 vertebral levels is swollen. The cord over these levels is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted images.
There is effacement of the surrounding CSF space.
A small left paracentral disc herniation is seen to indent the cord at the D8-D9 level.
Posterior disc bulges are noted at the D6-D7 and D7-D8 levels.
The upper and mid-dorsal intervertebral discs show loss of water content.
The visualized dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level.
The MRI features are suggestive of swelling of the dorsal spinal cord over the D3 to the D6 vertebral levels with altered signal as described. This is not specific for a single etiology. The differential diagnosis would include,
1. Cord tumors.
A contrast enhanced study would be worthwhile.